Authorization & Referral Management
Never lose revenue to a missing authorization again.
RevalonMD LLC manages prior authorizations and referrals so your team can focus on patient care, not paperwork. We ensure every service is properly authorized before it's rendered.
Everything You Need, Nothing You Don't
Prior Authorization Requests
Submission of auth requests to payers for all procedures, diagnostics, and treatments that require approval.
Authorization Tracking
Real-time tracking of all pending, approved, and denied authorization requests.
Referral Management
Processing and tracking of specialist referrals for all payers and plans.
Auth Denial Appeals
Clinical appeals for denied authorizations with supporting documentation.
Peer-to-Peer Facilitation
Scheduling and facilitating peer-to-peer reviews with payer medical directors.
Retroactive Auth Pursuit
Aggressive pursuit of retroactive authorizations when care was rendered without prior approval.
Results You Can Expect
Our Process
- 1 Review scheduled services requiring authorization
- 2 Compile clinical documentation for auth request
- 3 Submit authorization to payer
- 4 Active follow-up for pending authorizations
- 5 Communicate approval to clinical team
- 6 Attach auth number to claim upon service
Get a Free Consultation
Tell us about your practice and we'll put together a custom plan for your billing needs.
Our Other Services
Why RevalonMD