Instant Verification of Benefits & Prior Authorizations
Stop Revenue Leaks and Get Approvals in Hours, Not Days
Every stalled claim chips away at your bottom line. We automate eligibility checks and prior authorizations end to end, syncing directly with payers so you can treat patients without financial guesswork.
- Real-Time Benefit Checks
- 99% First Pass Approval Rate
- 30% Average Revenue Growth
- HIPAA Secure, Fully Integrated Platform
Verification of Benefits and Prior Authorization Services for Medical Care
Wondering what is prior authorization and why it matters? Or how medical verification of benefits protects your cash flow? Pro Medical Billing Solutions answers both by pairing AI-driven eligibility checks with a dedicated prior authorization specialist team. We tackle verification of benefits and prior authorization together, cutting approval time and blocking revenue leaks without the guesswork or delays.
Verification of Benefits (VOB)
Our verification of benefits workflow confirms active coverage, deductibles, and co-pays in under two minutes. We also handle Medicare verification of benefits to ensure compliance for senior patients. Every data point feeds straight into your EHR so providers and patients see costs up front, reducing denials and improving billing accuracy.
Prior Authorization (PA)
Still asking what is a prior authorization or why payers require it? We manage every step from gathering clinical notes to submitting the Medicare prior authorization form so your care plan stays on schedule. With 99% first-pass success on all prior authorizations, our specialists secure approvals quickly, protect revenue, and keep patients satisfied.
Verification & Prior Authorization Services
We offer a full-service solution for verification of benefits and prior authorization, designed to simplify front-end workflows, reduce claim denials, and protect your bottom line.
Our process begins with a real-time medical verification of benefits, giving your staff immediate clarity on active coverage, policy limitations, and patient responsibilities. This step ensures clean claims before the care even begins.
When a procedure requires payer approval, our prior authorization specialists take over. We collect medical necessity documentation, complete payer-specific forms including the Medicare prior authorization form, and manage every submission and follow-up until approval is secured.
With 75% of denials linked to eligibility and authorization errors, we eliminate guesswork and minimize rework. The result is fewer delays, improved collections, and a smoother patient experience at every touchpoint.
Are you looking for expert Prior Authorization Services?If you're seeking fast, reliable, and budget-friendly Prior Authorization Services, reach out to us today and experience seamless, efficient solutions!
Importance of Verification of Benefits (VOB) and Prior Authorization (PA)
Facing claim denials and delayed payments can cripple even the most efficient practice. Confirming patient coverage and securing approvals before treatment is the fastest way to protect your revenue.
Why proactive VOB and PA matter
- Cut Denials at the Source
Eligibility checks catch inactive policies and benefit limits before a claim is filed.
- Speed Up Approvals
Prior authorization specialists handle all paperwork, from medical necessity notes to Medicare prior authorization forms, so care proceeds on schedule.
- Give Patients Price Clarity
Verifying deductibles, co-pays, and coinsurance upfront eliminates surprise bills and builds trust.
- Safeguard Cash Flow
Clean claims and first-pass approvals translate into faster reimbursements and fewer write-offs.
- Lighten Staff Workloads
Automated benefit verification reduces phone calls and frees your team to focus on patient care.
Streamlined Prior Authorization for Maximum Reimbursement
Fast and accurate prior authorization is crucial for predictable revenue. A dedicated prior authorization specialist team uses real-time eligibility checks, automated tracking, and payer-specific rules to move each request from submission to approval in hours. Every detail, including the required Medicare prior authorization form, is handled with precision to improve first-pass resolution rates and protect cash flow.
Why do Professionals Choose Our Prior Authorization Services?
Rapid Revenue Recovery
First-Pass Resolution
Denial & Rejection
Short Turnaround Time
Electronic Claim
Electronic Payment
Client Retention
Revenue Increase
Why Choose Pro Medical Billing Solutions for Your Prior Authorization Needs?
Managing prior authorization in-house can slow down operations, increase overhead, and lead to preventable claim denials. With expert support and smart technology, every step from eligibility checks to payer follow-ups is handled accurately and efficiently.
A dedicated prior authorization specialist manages each request using payer-specific workflows, clinical documentation, and real-time integrations with insurance systems. Whether you’re dealing with commercial payers or submitting a Medicare prior authorization form, approvals are secured without delays.
This hands-off, high-accuracy approach gives your staff more time to focus on patients. The result is improved collections, fewer workflow disruptions, and higher patient satisfaction.
On-Time Claim Submission
Quick Clear Documentation
Integration With Insurance System
Regular Audits & Compliance
Billing Automation System
Efficient billing & Coding
Accurate Patient Information
Robust Coding Systems
Tailored Prior Authorization Services for Every Medical Specialty
Our team works directly with physicians, administrators, and billing staff across the U.S. to simplify prior authorization and reduce payer-related friction in every specialty. By combining specialty-specific expertise with proven authorization workflows, we help ensure faster approvals, fewer denials, and more predictable reimbursements.
Whether you’re managing surgical clearances, ongoing therapy sessions, or advanced imaging authorizations, our team has the tools and knowledge to keep your schedule on track and your revenue cycle running smoothly.
Our Expertise
- - Patient Scheduling & Registration
- - Verification of Benefits
- - Authorization & Referral
- - Medical Billing
- - Medical Coding
- - Medical Billing Financial Audit
- - Charge Entry & Payment Posting
- - Billing & Coding Audit
- - Denial Management
- - AR Management
- - Revenue Cycle Optimization
- - Old AR Management
- - Patient Billing & Statements
- - Collections Services
- - Patient Help 24/7
Medical Billing Software We Leverage for Revenue Cycle Management
Here are some Industry top listed EHR being operated by us.
Our Esteemed Clients' Testimonials
![Dr.-Jorge-Guevara-MD[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Jorge-Guevara-MD1.webp)
Pro Medical Billing Solutions is doing an incredible job of boosting our revenue and improving our cash flow. They are excellent at communicating with the insurance providers and are prompt in addressing issues. We're immensely grateful for their wonderful efforts, and we give a thumbs-up to their entire team.
For the past 15 months, Pro Medical Billing Solutions has consistently delivered incredible collection results, with first-pass rates surpassing industry standards. Their high responsiveness and effective Revenue Cycle Management services make them the go-to choose for any practice looking to take control of their billing.
![Dr.-Charles-Sisson[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Charles-Sisson1.webp)
We rely on Pro MBS for our medical billing operations and analysis. Our collaboration with Pro MBS has allowed us to excel over the last five years. We had a few patients’ inflows initially, and we ended up getting many more clients, Pro MBS helped us scale.
![Jennifer-Hartley-Administrator[1]](https://prombs.com/wp-content/uploads/2024/10/Jennifer-Hartley-Administrator1.webp)
Thanks to Pro Medical Billing Solutions, our practice has seen a significant improvement in our billing and collection processes. Their team is always up-to-date with the latest industry changes, and they have provided excellent support to our staff. We would highly recommend their services to any healthcare provider.
We have been using Pro Medical Billing Solutions for several months, and we have been extremely satisfied with their services. They have helped us to optimize our billing and coding practices, resulting in improved cash flow for our practice. We highly recommend them to other healthcare providers.
![Huiping-Xu-M.D[1]](https://prombs.com/wp-content/uploads/2024/10/Huiping-Xu-M.D1.webp)
Pro MBS has provided excellent satisfaction for our Medical Billing and Coding operations. We conduct regular meetings with their team. They are updated with current industry trends and keep very high standards for quality service. We consider them as an extension of our business office.
![Sandra-Diaz[1]](https://prombs.com/wp-content/uploads/2024/10/Sandra-Diaz1.webp)
Pro Medical billing Solutions has numerous strengths. One of many is effective communication, which kept me aware of billing updates and claim processes. I am impressed with the swift claim processing and the turnaround time for claims. appreciate Pro Medical Billing Solutions for providing constant support.
![Jennifer-G.-Walker-D[1]](https://prombs.com/wp-content/uploads/2024/10/Jennifer-G.-Walker-D1.webp)
We are pleased with Pro Medical Billing Solutions' billing and coding services and highly endorse them to anyone looking for a proficient billing company. Collaborating with Pro Medical Billing Solutions has been effortless, and we are deeply grateful for their services.
As the CEO of Big Dog Pharma, I would highly recommend Pro Medical Billing Solutions for your Medical Billing and Coding processes. Over the past four years of collaboration, I have found them responsive, prompt, and helpful. Through our extension, we reduced our staff requirements and significantly improved our revenue stream.
![Dr.-Michael-Farrel-D[1]](https://prombs.com/wp-content/uploads/2024/10/Dr.-Michael-Farrel-D1.webp)
I look back over the past five years of our relationship, and I can predict what the coming five years would look like. I can see immense growth opportunities for both of our organizations with the partnership that we have been able to develop. I absolutely recommend Pro Medical Billing Solutions.
Frequently Asked Questions
Prior authorization is a required approval from an insurance provider before a specific medical service, procedure, or medication is delivered. It confirms that the service is medically necessary and covered under the patient’s insurance plan.
Verification of benefits ensures that a patient’s insurance is active and covers the required medical services. This step reduces the risk of claim denials and surprise out-of-pocket costs for the patient.
A prior authorization specialist handles the entire approval process, including gathering clinical documentation, submitting requests, tracking payer responses, and following up to ensure timely approvals.
Most prior authorizations are processed within 24 to 72 hours, depending on the payer and service type. Submissions involving the Medicare prior authorization form may take slightly longer.
A medical verification of benefits includes confirming coverage status, co-pays, deductibles, coinsurance, service limits, exclusions, and any prior authorization requirements.
No, not all services or plans require prior authorization. However, many payers, including Medicare, require it for high-cost procedures, surgeries, and certain prescriptions.
If a prior authorization is denied, the provider can appeal the decision by submitting additional documentation or clarifying medical necessity. Our team helps manage denials and appeal submissions to avoid revenue loss.
Yes, Medicare may require a specific prior authorization form depending on the type of service. We manage all Medicare prior authorization form submissions to ensure compliance and approval.
What Sets Our Medical Billing and Coding Services Apart
Experience
857 Tristar, Suite A1,
Webster,
TX 77598, US.
2300 W Sahara Avenue, Suite 800,Las Vegas, NV 89102, US.
1600 Broadway, Suite 1600, Denver, CO 80202, US.
732 S 6TH ST, STE R, LAS VEGAS NV 89101, US.
5600 General Washington Dr Ste B207, Alexandria, VA, 22312, US.
Thousands of providers growing their practice with PROMBS.
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