Neurology
Payer administration for neurology practices
Specialty medication and biologic access, infusion and injection therapy authorization, imaging and procedure authorization, renewals, benefits, and denials and appeals, handled within your systems by PriorDesk’s U.S.-based team. Your clinicians keep every treatment decision.
What lands on our desk
- Pharmacy-benefit prior authorizations for specialty and disease-modifying medications, including step-therapy and formulary-exception administration and renewals
- Medical-benefit authorizations for infusion and injection therapies, including site-of-care requirements
- Advanced imaging orders, including MRI, CT, and PET, which frequently route through utilization-management vendors
- Procedure and diagnostic authorizations where the payer requires them, including electrodiagnostic studies
- Medical-versus-pharmacy benefit determination for each therapy and payer
- Benefits investigation, patient-responsibility estimates, and financial clearance
- Manufacturer hub, copay-card, and assistance-program enrollment
- Denial and appeal administration for imaging, therapy, and medication denials
Administrative demands in neurology
Neurology authorizations are documentation-intensive and frequently reviewed by a third party. Imaging is routed through utilization-management vendors with their own portals and criteria. Specialty medications require diagnosis-specific documentation, prior-therapy history, and, for many products, periodic re-authorization with updated clinical information the practice must supply. Infusion therapies add site-of-care rules. The administrative load is in knowing which reviewer, which channel, and which documentation each payer wants, and in tracking renewals across a patient panel on continuing therapy.
How a case runs here
PriorDesk locates and organizes the documentation the payer’s published criteria require, flags anything missing to your coordinator, submits through the channel your practice approves, monitors status, completes routine payer follow-up, coordinates routine additional-information requests from the record, and records every action, reference number, and outcome in your system. If a request is denied, PriorDesk records the payer’s stated reason, the deadline, and the directed next step, and administers the appeal where that is in scope.
What stays with your practice
Treatment decisions, medical necessity, prescribing decisions, diagnosis and procedure code selection, physician peer-to-peer reviews, provider signatures and attestations, and clinical answers to payer questions remain with your clinicians. When a payer asks a clinical question, PriorDesk documents it and routes it to the contact you designate.
Get started with PriorDesk
Tell us about your practice, your approximate monthly volume, and the support you need. We review your workflow, confirm the scope, and send the agreement and onboarding documents. No patient information is requested or accepted.