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HIPAA-compliant · Serving healthcare providers across the USA
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Prior & Retro Authorization

Missing authorizations cause avoidable denials. We request, track and follow up on prior authorizations, and pursue retro authorization when services were already delivered.

What is included

  • Prior authorization requests and tracking
  • Retro authorization submissions and follow-up
  • Contact with insurance and PCP offices
  • Clinical documentation gathering
  • Authorization status updates for your front desk
  • Final determination of the services rendered

Why Code Care MB?

One accountable team, transparent reporting and HIPAA-compliant processes, so you can focus on patients while we focus on payment.

How We Work

Review

We study your current billing, A/R and payer mix to find gaps.

Set up

We connect to your systems and set up eligibility, claims and reporting.

Bill & follow up

Clean claims go out fast; denials and aging claims are worked daily.

Report & improve

You get clear reports and ongoing recommendations to improve collections.

Common Questions

What is retro authorization?

Retro authorization is when the insurance company reviews services that were already completed to confirm they are covered and medically necessary. We prepare and follow up on these requests so eligible services can still be paid.

How do I get started?

Call (409) 916-8949 or use the contact page. We will review your situation and recommend a plan.

Related Services

Medical Billing

Accurate claims, faster payments, fewer rejections.

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AR & Old AR Recovery

We chase aging and forgotten claims until they are resolved.

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Credentialing & Enrollment

Get providers enrolled with payers without the paperwork stress.

Learn more

Ready to get paid faster?

Talk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.