What lands on our desk
Everything that can be done in writing or in a portal. PriorDesk handles the written side of prior authorization for orthopedic, spine, and pain practices, performed inside your existing systems by US-based authorization specialists.
Eight things we do for every request
Documentation preparation
Documentation pulled from your EHR and organized to the payer's published criteria before anything is submitted.
Missing documentation flagged
Missing documentation flagged to your team in writing, so nothing goes in incomplete.
Portal submission
Requests completed from the existing clinical record and submitted through Availity, Carelon, eviCore, payer portals, or fax, as your practice authorizes.
Status tracking
Status tracked in the portals and updated in your own system.
Requests for additional information
Requests for additional information answered from the record.
Denials organized
Denials organized: the payer's stated reason, the deadline, the evidence gap, and the recommended path, in writing.
Written appeal support
Written appeal support: the denial reason, supporting documentation, and payer requirements organized, and the administrative response drafted for your provider's review and signature.
Every action recorded
Every action recorded in your system, where your team and your auditors can see it.
Medical-benefit authorizations only
PriorDesk handles medical-benefit authorizations: procedures, injections, surgeries, and the imaging your physicians order. Pharmacy prior authorizations are not in our current offer.
Plans start at $1,400 a month
Plans start at $1,400 a month for up to 50 standard authorization requests. Higher volume, surgical packets, and appeal drafts are scoped in your written proposal. Every proposal states your number before you sign anything.
Request a written proposal
Tell us your specialty, your EHR, your major payers, and your approximate monthly volume, and a written scope and price is in your inbox within one business day. No patient information is requested or accepted.