Prior-Auth Case File

Prior-Auth Case File

A written record for one denied authorization.

The problem

Denials go out with a thin file. Appeals often work when they are filed. Many are never filed.

What you receive

  • What was submitted
  • What was missing
  • What to attach next

How we work

No EHR or payer-portal login. You send a redacted case. We rebuild the file from what you provide.

After the packet

Revenue cycle uses the attach list for the appeal. Benefit: one denial has a complete story without opening the clinic database.

What others lose without this

Unappealed denials leave revenue and delayed care on the table. A rebuilt file is how a group gives the next appeal something to stand on.

KFF: prior authorization

info@techmedinc.us