Our Process

A Prior Authorization Team That Does Nothing But Authorizations

Our specialists know exactly what each payer needs, which means your patients start therapy in days instead of months.

The Problem

The Problem With How PAs Usually Work

In most practices, prior authorizations get squeezed between a dozen other responsibilities. Your staff submits the paperwork, waits, follows up when they can, resubmits when something is “missing,” and hopes for the best.

It’s not their fault. They’re juggling patient calls, scheduling, referrals, and a hundred other tasks. PAs become one more thing on a list that never gets shorter.

The result: authorizations drag on for weeks. Sometimes months. Your patient waits. Their disease progresses. Everyone is frustrated.

Our Difference

How Our Process is Different

We built a team that does nothing but infusion authorizations. All day. Every day. That specialization changes everything.

Phase 1

Intake and Benefits Verification

The moment we receive your referral, we verify the patient’s benefits and identify exactly what their plan requires. Formulary position. Step therapy requirements. Preferred specialty pharmacy. Site-of-care policies. We map the terrain before we take a single step.

Phase 2

Documentation Assembly

Our team knows precisely what documentation each payer requires—not the generic checklist, but the specific clinical notes, lab values, and medical history elements that move a PA from ‘pending’ to ‘approved.’ If anything’s missing, we reach out immediately so there’s no delay.

Phase 3

Submission and Active Follow-Up

We don’t submit and wait. We submit and track. Our team monitors every single authorization daily, follows up proactively, and escalates when timelines slip. Payers know that our submissions are complete and our follow-up is relentless.

Phase 4

Peer-to-Peer Support

If a payer requests a peer-to-peer review, we coordinate scheduling with our clinical team and provide them with a concise brief: what the payer is questioning, what documentation supports approval, and what points to emphasize. You and your staff spend exactly zero minutes on any such call.

Phase 5

Approval and Therapy Initiation

The moment we have approval, we’re scheduling the first infusion. No handoff delays. No waiting for someone to notice an approval letter. Your patient hears from us within hours and scheduling is coordinated with our clinical team.

Typical Timelines

Every payer is different, but here’s what our specialization delivers:

Most commercial plans

3 – 10 days

Complex cases requiring appeals

2 – 4 weeks

Compare to 8-16 weeks that practices typically experience for complex cases.

Your Role is Simple

Send us the referral. We handle everything else.

You’ll receive status updates at key milestones, and we’ll reach out immediately if we need additional documentation. Otherwise, the next time you hear from us, your patient is approved and scheduled.