Clinical Precision

Our 360-degree Prior Authorization/Pre-Cert Approach

We simplify the complex pre-certification process for physicians and pharmacists, ensuring patients receive the care they need while your practice operates at peak efficiency.

Healthcare Professional

Our Pre-Certification Process

Intake

Practices enter patient information and necessary diagnosis codes through our secure, HIPAA-compliant interface.

Management

The Prime Care team takes complete ownership, communicating with payers and keeping your staff informed via real-time dashboard updates.

Outcome

We finalize approvals, handle EHR data entry, and aggressively manage follow-ups or appeals for any initial denials.

What We Do

Comprehensive prior authorization support tailored to your practice's specific billing model.

Dedicated Account Manager

One point of contact for all your authorization needs.

Flexible Billing

Choose between an affordable hourly rate or a pay-per-case model.

Gathering Patient Information
Comprehensive Eligibility Checks
Direct Payer Communication
Real-time Status Updates
Denial Management & Appeals
EHR Data Entry & Syncing
Physician & Staff Training
Stat / Urgent Case Priority

Our Process, Simplified

The core pillars that define our industry-leading service delivery.

Eligibility

Instant verification to avoid upfront billing issues.

Processing

Complete end-to-end management of the auth lifecycle.

Appeals

Expert clinical appeals for denied authorizations.

Status

Transparent, real-time dashboard for every case.

STAT Service

For urgent medical needs, our expedited 'STAT' workflow ensures critical authorizations are prioritized to meet immediate patient care timelines.

No Long Term Contracts

We believe in the quality of our service. Work with us on your terms with flexible monthly arrangements and no restrictive lock-ins.

Practice Extension

We don't just provide a service; we act as a seamless extension of your medical practice, adopting your workflows and clinical standards.

Work with us

Ready to reclaim your time and reduce administrative burden? Connect with a Prime Care specialist today.

Fastest Response Time

Our intake team usually responds within 2 business hours.