Prior authorization support, structured around your practice
Begin with a defined pilot, engage PriorDesk by the case, or establish ongoing monthly support based on your authorization volume.
Every engagement includes a written service scope and confirmed pricing before work begins.
Choose how to begin
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Recommended starting point
10-Case Pilot
$390
Ten standard medical-benefit prior authorization cases delivered under a clearly defined service scope. Designed for practices that want to evaluate the PriorDesk workflow, communication, and documentation before selecting ongoing support.
Included:
- 10 standard medical-benefit prior authorization cases
- The complete standard-case scope
- No monthly subscription
- No long-term commitment
- Written scope and onboarding requirements confirmed before service begins
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Standard Complete Prior Authorization
$39per standard case
Administrative prior authorization support for one ordered service, procedure, or medical-benefit therapy.
A standard case includes:
- Preparing and organizing documentation already contained in the practice’s record
- Identifying missing documentation for the practice to provide
- Submitting the request through an approved payer channel
- Monitoring authorization status
- Completing up to two routine payer follow-up contacts after submission
- Coordinating routine additional-information requests using documentation already in the record
- Recording actions, reference numbers, requirements, status, and outcome in the practice’s authorized system
- If denied, recording and summarizing the payer’s stated reason, deadline, and directed next step
Written appeal preparation, repeated follow-up beyond the standard scope, and complex or high-touch casework are priced separately.
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Payer Follow-Up Only
From $25per case
For medical-benefit authorization requests already submitted by your practice. PriorDesk completes one defined follow-up cycle and records the outcome in your authorized system.
One follow-up cycle includes:
- Reviewing the available authorization information
- Checking the payer portal when applicable
- Completing one payer telephone follow-up when needed
- Obtaining the current status, reference number, missing requirement, or payer-directed next step
- Documenting the outcome in the practice’s authorized system
Payer Follow-Up Only does not include documentation preparation, a new submission, resubmission, denial work, written appeal preparation, or additional follow-up cycles.
Work beyond the defined follow-up cycle requires separate practice approval and pricing.
Monthly authorization support
For practices with recurring medical-benefit authorization volume, monthly plans provide defined case capacity and a consistent administrative workflow.
Each monthly plan uses the same standard-case scope described above. Written appeal preparation, complex or high-touch cases, additional follow-up beyond the standard scope, and work beyond the included monthly capacity are priced separately.
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Starter Desk
$495per month
For practices with a smaller but recurring authorization workload.
Includes:
- Up to 15 standard cases per month
- The complete standard-case scope
- Authorization activity documented in the practice’s authorized system
- Written scope and included capacity confirmed before service begins
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Practice Desk
$995per month
For practices that need consistent support across a larger monthly authorization volume.
Includes:
- Up to 40 standard cases per month
- The complete standard-case scope
- Authorization activity documented in the practice’s authorized system
- Written scope and included capacity confirmed before service begins
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Managed Authorization Desk
From $1,595per month
For higher-volume practices, multiple providers, multiple locations, or specialty-specific workflows requiring a more tailored level of support.
Included case capacity, workflow responsibilities, and pricing are confirmed after a review of the practice’s authorization volume and operational needs.
Services outside the standard-case scope
The following services require separate approval and pricing:
- Written appeal preparation
- Complex or high-touch authorization cases
- Additional payer follow-up beyond the included case scope
- Retroactive authorization requests
- Resubmissions requiring material new work
- Work beyond the included monthly case capacity
- Requests materially outside the agreed service scope
Additional work is confirmed with the practice before it is performed.
What every PriorDesk engagement includes
- A written scope: Responsibilities, included services, capacity, and pricing are documented before work begins.
- U.S.-based support: Authorization work is performed by personnel located in the United States.
- Practice-controlled access: Work is completed through accounts and permissions provisioned and controlled by the practice.
- Documented activity: Actions, reference numbers, requirements, and outcomes are recorded in the practice’s authorized system.
- Clear service boundaries: Clinical and coding decisions remain with the practice and its licensed clinicians.
Not sure where to begin?
Tell us about your specialty, medical-benefit authorization volume, EHR, and current support needs. We will review your workflow and recommend the appropriate starting point.
PriorDesk does not request or accept patient information through this website.
Important service boundaries
PriorDesk provides administrative prior authorization support. We do not make clinical decisions, determine medical necessity, provide medical advice, select or modify diagnosis or procedure codes, conduct peer-to-peer reviews, sign provider documents, or represent ourselves as the treating provider.
PriorDesk currently supports medical-benefit prior authorizations. Pharmacy-benefit prior authorizations are outside the current service scope.
PriorDesk does not guarantee payer approval or payer response time.