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Prior Authorization

Authorizations secured before the procedure so services are covered and claims are never denied for missing approval.

Prior Authorization — Penta MBS medical billing services

Missing or expired authorizations are among the most avoidable denials in healthcare. Our authorization team identifies which services need payer approval, submits complete requests with supporting documentation, and tracks every one to a decision — so your schedule is not held hostage by payer paperwork.

What's included

  • Payer-specific authorization requirement lookup
  • Submission of complete clinical documentation
  • Status tracking with expiry and visit-count monitoring
  • Retro-authorization requests where allowed
  • Peer-to-peer review scheduling support
  • Authorization numbers linked to claims before submission

Why it matters

Fewer authorization denials

Approvals are on file before the date of service, not chased after the claim is rejected.

Less clinical staff time

Nurses and MAs stop spending hours on payer portals and hold music.

Predictable scheduling

Procedures go ahead as booked because approvals are ready when the patient arrives.

Ready for cleaner claims and faster payments?

Get a free, no-obligation billing assessment. We'll review your current revenue cycle and show you exactly where money is being left behind.

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