A prior authorization is a requirement from an insurance company that certain medications, procedures, or treatments receive approval before coverage is granted.

SolvedRx provides:

• Prior authorization submissions

• Clinical documentation review

• Insurance follow-up

• Denial and appeal management

• Pharmacy coordination

• Workflow optimization

• Staff training and consulting

We work with:

• Primary care practices

• Psychiatry and behavioral health clinics

• Specialty medical practices

• Nurse practitioners

• Physician assistants

• Independent providers

• Multi-provider clinics

We support prior authorizations for most commercial insurance plans, Medicare plans, and Medicaid plans, depending on state and payer requirements.

We assist with a wide range of medications, including:

• ADHD medications

• Mental health medications

• Weight management medications

• Specialty medications

• Biologics

We follow industry-standard security practices and utilize HIPAA-compliant systems and processes to protect sensitive information.

Our Per-Case Specialist service does not require a monthly commitment. Monthly service plans may require a service agreement outlining responsibilities and pricing. Clients can submit requests through our secure portal and approved communication channels, making it easy to upload supporting documentation and track progress.

Absolutely. We can function as an extension of your team, handling all or part of your prior authorization workload while keeping your staff informed throughout the process.

Many practices experience significant time savings and reduced administrative burden by outsourcing prior authorization tasks. Savings vary based on patient volume, staffing costs, and workflow efficiency.

Simply schedule a free consultation. We'll assess your needs, answer your questions, and recommend the best solution for your practice.