20%
denials tied to auth
Missing or expired auths are pure leakage.
Service
Prior Authorization
Genetic, imaging, and specialty auths — tracked to approval.
The problem
What happens when this breaks.
7–14
days auth lag
Slow packets delay care and cash.
↑
genetic testing complexity
Payer portals and clinical criteria change constantly.
How MedfirstRCM handles it
A disciplined process — not a ticket queue.
- 01
Identify
Detect auth-required codes from orders and payer rules.
- 02
Compile
Assemble clinical packets — notes, labs, medical necessity.
- 03
Submit & track
Portal/fax submission with status SLAs.
- 04
Bridge to claim
Auth numbers flow into charge entry and scrubbing.
What's included
Scope you can hold us to.
- Auth determination engine
- Clinical packet preparation
- Portal submission & follow-up
- Auth-to-claim linkage
Results
Outcomes tied to this service.
0%
Auth approval rate
0
Avg. days to decision
↓0%
Auth-related denials
Works with your EHR / PM / LIS
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FAQ
Questions we hear most.
Yes — it’s a core lab workflow, including medical necessity letters.
See exactly how much revenue you're leaving behind.
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