Prior Authorization Services Built Around What Payers Actually Require
Every authorization request goes out with the clinical documentation the payer needs to approve it, and is tracked from submission to decision, so a slow payer queue doesn’t turn into a delayed or canceled procedure.
Credexa Solutions built this service for practices tired of watching authorizations stall. You get a clear status on every request, submitted, pending, approved, or flagged, instead of silence while a scheduled procedure waits.
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Everything That Happens Between Scheduling a Procedure and Getting It Approved
Prior authorization services from Credexa Solutions cover the full path from the day a procedure is scheduled to the day the payer approves it.
Clinical Documentation Assembly
Payer-Specific Requirement Check
Authorization rules differ by payer and plan. We confirm what the specific payer requires for the specific procedure up front, instead of finding out when a claim denies for a missing authorization.
Submission and Status Tracking
Each request is submitted and tracked from the moment it is sent, so you always know if it is pending, approved, or needs more information.
Turnaround Follow-Up
Requests that sit past a payer’s normal response time get followed up on by us, instead of waiting for the payer to reach out.
Appeals
A denied request gets reviewed right away. We find the reason, fix what is missing, and resubmit or appeal, so one denial doesn’t become a canceled procedure.
Reporting
Why Practices Choose Credexa Solutions for Prior Authorization Services
Credexa handles the parts of prior authorization that decide whether a request is approved, not just the parts that are easy to automate.
Documentation Payers Require
Clinical notes, test results, and medical necessity justification are assembled for each payer and checked against that payer’s criteria first.
Payer-Specific Requirements
The same procedure can need authorization with one payer and not another. We confirm requirements before the request goes out.
A Status on Every Request
Every request carries a clear status, pending, approved, or flagged for more information, tracked from submission through decision.
Appeals Without Restarting
A denied request is corrected and resubmitted or appealed, so your staff never starts the prior authorization over from scratch.
HOW PRACTICES ENGAGE CREDEXA
Two Ways to Handle Prior Authorization
No contract either way. Buy it standalone, or get it included with full-service RCM.
Standalone Prior Authorization
Priced by request volume
- Covers documentation assembly and submission
- Payer-specific requirements confirmed before submission
- Status tracked from submission through decision
- No setup fee
- Cancel anytime
Included Free Inside Full-Service RCM
FREE
- No separate authorization charge inside full RCM
- Included at the 2.99% collections rate
- Also covers claims submission, coding, and denial management
- All 8 RCM stages covered, registration through reporting
- Every request tracked in your dashboard
- One team handles your whole revenue cycle
Transparent pricing. No hidden fees. No surprises.
WHERE ARE YOU RIGHT NOW
Which of These Describes Your Prior Authorization Process?
Most prior authorization problems stay hidden until a scheduled procedure gets delayed or denied. Select what applies to your practice below.
Select What Applies to Your Practice
Get a Clear Answer on Where Your Requests Stand
A free review looks at how your prior authorization requests are handled today: how they are documented, how long they wait for a decision, and where they get stuck. You’ll see the gaps before you change anything.
WHAT PRACTICES ASK
Questions Practices Ask About Prior Authorization Services
What services typically require prior authorization?
How long does prior authorization take?
What happens if a request is denied?
How much does standalone prior authorization cost if I don't need full RCM?
Can this work inside my existing EHR?
Does this account for CMS electronic prior authorization requirements?
Still have questions?
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