Know About Prior Authorization For Prior authorization for prescription drugs
                     Know About Prior Authorization For 
Prescription Drugs
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Know About Prior Authorization For 
Prescription Drugs
Pre-authorization or prior-authorization is a legal requirement to make 
certain that the insurance payer pays for the treatments and medications 
specified on the medical claim form. The insurance payer is free to 
refuse payment of a patient’s medical service as part of the health care 
insurance plan without authorization. 
Prior authorization for prescription drugs is intended to ensure that 
patients have access to safe, effective, and affordable prescription 
drugs. Companies that provide medical billing services collaborate 
closely with physicians to ensure a more efficient process for approving 
prior authorization requests. If a patient is prescribed a medication that 
necessitates prior approval for medical necessity and such approval is 
not obtained, the patient may be forced to pay the full cost.
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Know About Prior Authorization For 
Prescription Drugs
Prior Authorization Request Submission Process
The physician is responsible for obtaining authorization for the 
prescription drugs. Before performing the procedure, the provider 
must apply for authorization. Once approved, the payer issues an 
authorization number to the physician for future reference.
Authorization requests can be submitted both manually and 
electronically by the physician. There are both offline and online 
forms available for submitting a written authorization request. An 
electronic authorization request is submitted via fax or mail.
Insurance authorization company have different requirements 
for authorization requests.
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Know About Prior Authorization For 
Prescription Drugs
Importance of Pre Authorization
Pre authorization is an important step in the medical billing process. It 
guarantees that the procedure will be covered by the insurance company 
and that the physician will be reimbursed. Here are some of the main 
advantages of pre-authorization:
Helps to control costs and manages the risk of over prescription.
Determines whether the recurring or ongoing service is actually 
beneficial to the patient’s care.
Promotes patient safety.
Lower healthcare costs.
Aids in the improvement of care quality and the promotion of evidence-
based care.
Reduces unnecessary procedures and health care costs, for example, 
health plans require preauthorization for painkillers that are susceptible 
to misuse and monitor their use.
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Know About Prior Authorization For 
Prescription Drugs
Partnering with a medical billing outsourcing company such as 24/7 
Medical Billing Services can make the process easier for physicians. We 
have experts on staff who will collaborate with the provider to submit 
prior authorization requests as soon as possible. Errors will be reduced 
by their streamlined, centralized processes. As insurance verification 
specialists, we have worked with all government and private insurers 
and can ensure that Prior Authorization for Prescription Drugs requests 
are submitted in accordance with the needs of various plans.
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About Us
We are a medical billing company that offers ‘
24/7 Medical Billing Services’ and support physicians, hospitals, 
medical institutions and group practices with our end to end medical 
billing solutions. We help you earn more revenue with our quick and 
affordable services. Our customized Revenue Cycle Management 
(RCM) solutions allow physicians to attract additional revenue and 
reduce administrative burden or losses.
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Contact Us
Media Contact:
24/7 Medical Billing Services
Georgia
3001 Greenfield Drive, Marietta GA 30068
Ohio
28405 Osborn Road, Cleveland, OH 44140
Texas
2028 E Ben White Blvd, #240-1030 Austin TX, 78741
Delaware
16192 Coastal Highway, Lewes, Delaware 19958, United States
Phone no / Fax :  +1 888-502-0537
                          Email us: [email protected]
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