Helping Healthcare Providers Increase Revenue, Reduce Denials & Get Paid Faster.

Front-End RCM

Prior Authorization Services

Fast, tracked prior authorizations so care is never delayed.

Problem

Prior auth is time-consuming, payer rules constantly change, and delays frustrate patients and providers alike.

Solution

We manage the full authorization lifecycle — submission, follow-up and status tracking — across all payers.

Result

Faster approvals, fewer delayed procedures and denials avoided before they happen.

Our prior authorization team obtains and tracks approvals for procedures, imaging, medications and referrals. We handle payer requirements and persistent follow-up so your clinical staff can focus on patients, not paperwork.

What's Included

A complete, managed service

End-to-End Handling

We submit, follow up and track every authorization to closure.

Payer Rule Library

Up-to-date requirements for each payer and service type.

Status Tracking

Real-time visibility into every pending authorization.

Peer-to-Peer Support

Coordination for peer reviews when required.

Expedited Requests

Urgent auth handling for time-sensitive care.

Denial Prevention

Complete, accurate submissions reduce auth denials.

Benefits

Why practices choose this service

  • Faster authorization turnaround
  • Fewer treatment delays
  • Reduced auth-related denials
  • Less staff time on hold with payers
  • Better patient experience
  • Full audit trail of every request
35%
Faster approvals
90%+
Approval rate
0
Missed auth claims
How It Works

A simple, proven process

01

Identify Need

Flag services that require authorization early.

02

Submit Request

Complete, accurate submissions to the payer.

03

Follow Up

Persistent tracking until a decision is reached.

04

Document

Approval details recorded for clean claims.

FAQ

Common questions

Which services do you get authorizations for?

Procedures, imaging, DME, medications, specialty referrals and more.

How do you handle urgent requests?

We expedite time-sensitive authorizations and coordinate peer-to-peer reviews.

Will we see status updates?

Yes, you get real-time visibility into every pending authorization.

Does this reduce denials?

Complete, accurate submissions significantly reduce authorization-related denials.

Ready to improve prior authorization services?

Talk to a Nex Records revenue specialist and see the impact on your bottom line.