Prior Authorization Services That Keep Schedules Moving.
WCH obtains, tracks and documents prior authorizations so procedures are not cancelled, claims are not denied and your clinical staff stops living on hold with payers.
The cost of authorization gaps
Cancelled and delayed care
Missing authorization is one of the most common reasons a scheduled procedure gets pushed.
Automatic denials
No-auth denials are frequently non-appealable, turning a delivered service into a write-off.
Clinical time lost
Nurses and MAs spend hours on payer portals and phone queues instead of patient care.
Moving rules
Payer authorization lists, timelines and electronic requirements change constantly through 2026.
What we handle
Requirement checks
We determine whether the specific CPT, payer and plan require authorization before scheduling.
Submission
Requests filed through payer portals or electronic channels with the clinical documentation attached.
Peer-to-peer coordination
Scheduling and supporting peer-to-peer reviews when a request is questioned.
Status tracking
Active follow-up on every pending request until approval, denial or expiry.
Documentation
Authorization numbers, units, date ranges and notes recorded so billing uses the right data.
Denial appeals
Adverse determinations appealed with medical necessity documentation and policy citations.
Workflow
- 1
Intake
Your scheduling team sends the case; we confirm coverage and authorization requirements.
- 2
Submit
Request built with the correct codes, units and clinical support and filed the same business day where possible.
- 3
Chase
Daily follow-up with the payer, with escalation as the service date approaches.
- 4
Confirm
Approval details delivered to scheduling and billing so the claim matches the authorization exactly.
Why practices choose WCH
- Integrates with real-time eligibility verification
- Coverage across commercial, Medicare Advantage and Medicaid plans
- Authorization data passed straight into the billing workflow
- HIPAA-compliant clinical document handling
Frequently asked questions
Related services
Ready to see the numbers for your practice?
Book a free 30-minute call or email contact@wchsb.com. We will review your current performance and tell you exactly what is recoverable.