We streamline prior authorizations for hospitals, clinics, schools, and medical practices — delivering faster approvals, fewer denials, and less administrative burden so your team can focus on patient care.
100%
HIPAA Compliant
24hrs
Avg. Turnaround
Best-in-Class
Approval Rate
At PriorAuth Partners, we take the complexity out of prior authorizations for hospitals, clinics, schools, and medical practices. Our team manages the process from start to finish.
We handle complete submission of prior authorization requests to payers, ensuring accuracy and faster approvals.
Expert appeals and peer-to-peer review coordination for denied or partially approved authorizations.
Thorough review of clinical documentation to ensure all requirements are met before submission.
Persistent follow-up with insurance companies to track status and expedite decisions on pending requests.
Proactive tracking and timely renewal of expiring authorizations to prevent gaps in patient care.
Detailed dashboards showing approval rates and turnaround times to optimize your workflow.
We tailor our process to fit your workflow and ensure nothing slips through the cracks.
Sign up your practice securely and accept our HIPAA-compliant Business Associate Agreement.
Enter the prior authorization details through our secure portal. Upload supporting documents as needed.
Our specialists submit to the payer, follow up, and manage any additional requirements on your behalf.
Receive real-time updates and final decision notifications directly in your dashboard.
No ripped-and-replaced workflows. We work alongside the systems your hospital or clinic already runs — pulling what we need and submitting on your behalf.
We never alter your EHR. We retrieve the authorization-relevant data we need and handle the rest.
Integrations follow the same BAA-covered, encrypted, audit-logged safeguards as the rest of the platform.
Tell us your system during onboarding and we'll configure the connection — no IT project required.
Protecting patient health information is our top priority. Our platform is designed from the ground up to meet and exceed HIPAA requirements, so you can trust us with your practice's most sensitive data.
HIPAA Compliant
Verified & Audited Annually
All data is encrypted in transit and at rest using industry-standard protocols.
We execute Business Associate Agreements with every practice we work with.
Hosted on SOC 2 compliant infrastructure with regular security audits.
Role-based access ensures only authorized personnel view sensitive information.
We collect only the minimum data needed — no unnecessary PHI storage.
Complete logging of all data access and modifications for compliance.
Hear from the healthcare teams who rely on us every day.
“PriorAuth Partners cut our authorization turnaround time dramatically. Our staff spends a fraction of the time on hold with insurance companies now, and our patients get treated faster.”
Dr. Sarah Mitchell
Practice Director, Summit Family Medicine
“The portal is intuitive and the team is incredibly responsive. We finally have visibility into where every authorization stands without chasing down phone calls. It's been a game-changer.”
James Okafor
Office Manager, Lakeside Specialty Clinic
“Compliance was our biggest concern. The BAA, HIPAA-compliant data handling, and audit trail gave our compliance team full confidence. I recommend them to every practice I know.”
Priya Raman, RN
Clinical Operations Lead, CareFirst Urgent Care
Representative outcomes from clinics, hospitals, and school health programs that outsourced their prior authorizations to PriorAuth Partners.
Centralized prior auth across three locations. Clinical documentation review and payer-specific submission rules cut denials by 38% and trimmed average turnaround by 3 business days.
Multi-specialty system outsourcing high-volume prior auth. Dedicated specialists and SLA-driven follow-up delivered 99.7% on-time submission with full audit visibility.
Proactive renewal tracking and urgent-request handling for a district network eliminated authorization gaps that were delaying student care — delays down by half in one semester.
Skip the pricing pages. Tell us about your hospital, clinic, or school health program and we'll design a prior authorization workflow that fits your team — fast, smart, and HIPAA-compliant.
Everything you need to know about our prior authorization services and compliance standards.
Prior authorization is a requirement by health insurance companies that certain medical services, treatments, or medications be approved before they are provided. PriorAuth Partners manages this process on behalf of your practice to reduce administrative burden and speed up approvals.
We follow strict HIPAA compliance standards across every layer of our platform. We collect only the minimum necessary patient information (such as initials instead of full names), encrypt data in transit and at rest, and execute Business Associate Agreements (BAAs) with every practice we serve.
No. To protect patient privacy, we only require patient initials and birth year — never full names or full dates of birth. This minimizes PHI exposure while still allowing insurance companies to process the authorization.
A BAA is a legally required contract between a healthcare provider and a service provider that handles protected health information (PHI). We provide a BAA to every practice at no additional cost as part of onboarding.
Turnaround times depend on the insurance company and the urgency of the request. Routine requests are typically processed within 5–10 business days, while urgent and emergent requests are prioritized and may be approved in as little as 24–72 hours.
We work with physician offices, clinics, hospitals, specialty practices, urgent care centers, and other healthcare providers that submit prior authorization requests to insurance companies.
Simply register for an account on our portal, complete your practice profile, accept the BAA, and you can begin submitting prior authorization requests right away. You can also contact us for a personalized demo.
Yes. Our portal includes secure document upload so you can attach clinical notes, letters of medical necessity, and other supporting documentation directly to each prior authorization request.
If a request is denied, the status is updated in your dashboard and you can initiate an appeal. Our team can assist with gathering additional documentation and resubmitting the request to improve the chances of approval.