Prior authorization data helps providers track payer approval rates, denial patterns, and turnaround times. By benchmarking these metrics, practices can clearly show which payers create delays or administrative burden—using this evidence to negotiate better contract terms, reduce PA requirements, ...
NOIR & BLANCO Community Latest Questions
Prior authorization denials directly impact clean claim rates by delaying approvals and increasing claim rework. Efficient prior authorization processes ensure claims are accurate and approved the first time, improving clean claim rates and accelerating reimbursements.
MartinlunaTeacher
Appealing a prior authorization denial for specialty medications requires accuracy, evidence, and persistence. Start by reviewing the denial reason, then compile strong clinical documentation—medical records, test results, and relevant guidelines—to justify medical necessity. Craft a clear, payer-specific appeal letter ...