Reliable Verification of Benefits & Prior Authorization for Your Practice
At The Billing Advisors, we deliver trusted VoBs & Prior Authorization Services to help your practice confirm patient insurance coverage and secure necessary payer approvals before services are delivered. Our goal is to reduce claim denials, protect your revenue, and give you confidence to treat patients without administrative surprises.
Why VoBs and Prior Authorizations Are Critical
- Verification of Benefits (VoB) ensures a patient’s insurance is active, coverage limits, deductibles, copays, coinsurance, exclusions, and in-network vs out-of-network status are verified before care.
- Prior Authorizations (PA) are often required for procedures, diagnostics, medications or specific therapies. Missing these can result in immediate claim denials, regardless of medical necessity.
- By handling VoB and PA properly upfront, you ensure compliant, clean claims cutting down denials, speeding reimbursements, and protecting your bottom line.
- Skipping these checks often leads to denied claims, delayed payments, unhappy patients, and wasted administrative efforts.
What Our VoBs / PA Services Include:
- Patient insurance eligibility verification
- Real-time benefit confirmation (deductibles, copays, coinsurance)
- Pre-service and retroactive authorization requests
- Tracking of authorization status with payers
- Prior authorization for procedures, diagnostics, and medications
- Fax/portal submissions for payer-specific requirements
- Notifications to your practice upon approval or denial
- Support for both commercial and government plans
- Secure and HIPAA-compliant handling of patient data
Benefits: Improve Cash Flow & Patient Satisfaction
- Avoid surprise denials due to eligibility or missing authorization: secure reimbursement before service delivery.
- Ensure clean, compliant claims: reduce resubmissions, appeals, and payment delays.
- Improve patient trust and satisfaction by communicating coverage and out-of-pocket responsibilities upfront.
- Streamline front‑office workflows and reduce administrative burden on your staff.
- Maintain a steady revenue cycle: fewer unexpected rejections, faster turnaround, better financial predictability.
How quickly can you verify patient insurance benefits?
For most major payers, we complete VoBs within the same day, often in real-time giving you clarity before patient visits.
What types of services typically need prior authorization?
Procedures such as surgeries, imaging studies (MRI, CT), durable medical equipment, certain therapies or medications often require PA. Incorrect or missing PA leads to risk of claim denial.
What if a prior authorization is denied?
We alert your practice immediately, assist with possible appeals or alternative payment arrangements, and help you decide the next step protecting your revenue and patient relationships.
Can you integrate your VoBs/PA service with our EHR or scheduling system?
Yes. We work flexibly with various EMR/EHR systems and practice management workflows to ensure seamless integration and minimal disruption.
Do you provide updates to our staff once an authorization is approved?
Absolutely. We handle commercial payers, Medicare, Medicaid, HMOs, PPOs, and other private insurance plans.
At The Billing Advisors, we ensure that your practice receives clear, accurate Verification of Benefits (VoBs) and timely Prior Authorizations (PAs) — so you can provide services confidently and get reimbursed without delay. Our team helps reduce claim denials due to eligibility or authorization issues.
