Prior Authorization
Approvals in place before your patient arrives.
We identify which services require authorization, assemble the clinical documentation and follow through with payers, so care proceeds without billing surprises.
The challenge
Authorizations drain staff time and put revenue at risk.
- Hours each week on hold with payers
- Services performed without required approval, then denied
- Patients rescheduled because paperwork isn't ready
How Zsquare solves it
Proactive authorization management
We review upcoming schedules, identify which services need authorization under each patient's plan, assemble the clinical documentation and follow through with the payer until a decision is made, keeping your team informed at every step.
Our process
How it works, step by step.
- 01
Requirement check
Upcoming services are screened against each payer's authorization rules.
- 02
Documentation
We gather the clinical documentation the payer needs.
- 03
Submission & follow-up
Requests are submitted by portal, fax or phone and tracked to a decision.
- 04
Status handoff
Approvals, denials and peer-to-peer needs are communicated clearly.
- 05
Reporting
Pending, approved and denied authorizations are reported in one view.
Benefits
What changes for your practice.
Fewer auth denials
Required approvals are confirmed before care is delivered.
Time back for staff
Your front office stops chasing payers.
Smoother scheduling
Fewer last-minute reschedules for patients.
Clear status
Every pending request is visible in one place.
Specialties
Prior Authorization for every specialty we serve.
FAQ
Prior Authorization: common questions.
Straight answers about how we work. Don't see your question? We're happy to talk it through.
Book a demo
See how much revenue you're leaving on the table.
Book a demo with a revenue cycle specialist. We'll walk through your numbers and show you exactly where Zsquare can help.
- 30 minutes, at a time that suits you
- Live walkthrough of reporting and workflow
- A tailored estimate for your practice
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