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For healthcare providers and practice managers, our free audit / consultation request form is the simplest way to connect with our team. Whether you have questions about our services, need clarification on specific offerings, or would like to explore customized solutions for your practice, we appreciate you to please fill the form. Please feel free to share any inquiries, concerns, or details you would like us to review—nothing is too small or too complex. Once submitted, our specialist team will come back to you and schedule a dedicated consultation at your convenience. We are committed to supporting you, addressing your questions with clarity, and ensuring you feel fully informed and confident moving forward.
info@caremedox.com
(607) 225 5002
In today's healthcare landscape, prior authorizations and referral management have become major administrative burdens for practices of all sizes. Delays, incomplete documentation, and payer-specific rules often result in denials, postponed treatments, and lost revenue.
At CareMedox, we take complete ownership of your authorization and referral workflow — ensuring quick approvals, real-time follow-ups, and clean submissions so your providers can focus on patient care, not payer paperwork.
A large percentage of denials come from missing, incorrect, or delayed prior authorizations. We eliminate these issues with proactive verification and clean submissions.
Faster approvals mean fewer treatment delays and better clinical outcomes.
Approved authorizations ensure that claims move through the system smoothly, improving overall cash flow.
Your staff no longer needs to spend hours on hold with insurance companies — we handle everything for you.
We stay up to date with all insurance requirements, including Medicare, Medicaid, and commercial plans.
Below is a complete suite of services we manage for your practice:
We complete, submit, and manage all prior authorization requests across all insurance payers, including:
We manage both incoming and outgoing referrals for your practice.
Before any authorization is submitted, we confirm:
This prevents unnecessary denials and ensures patients know what to expect financially.
We prepare and submit all documents required by payers, including:
Clean documentation = faster approvals.
Our team reviews payer policies and confirms that your clinical documentation meets medical necessity requirements.
We prepare detailed clinical justification summaries when needed.
We do daily follow-ups with payers until the authorization is:
You receive updates immediately through your preferred communication channel.
You get full transparency with:
When a payer denies an authorization, we:
We don’t stop until every possible option is exhausted.
We receive the request (from provider, staff, EHR, or fax) and verify details.
We confirm coverage, requirements, and referral needs.
We gather all medical records needed for the authorization.
We complete payer forms and submit clean, accurate requests.
Our team consistently follows up until approval is obtained.
You receive immediate updates, including authorization number, validity period, and approved services.
Approved authorizations are synced with billing to ensure clean claims and reduced denials.
Faster approvals
Fewer denials
Increased reimbursements
Reduced provider & staff workload
Better patient experience
Strong compliance with payer rules
Elimination of administrative bottlenecks
We support
Across all specialties and all U.S. states.
Choose our Authorization & Referral Services if your practice wants to:
Let CareMedox handle the paperwork — while you focus on patient care.