Prior Authorization Services for Healthcare Providers
"Every pending authorization delays care and leaves earned revenue unpaid"
What We DO
Stop Authorization Delays Before They Stop Your Revenue
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Payer-ready submission from day one
We map each payer's specific requirements before submitting. That means correct clinical documentation, correct codes and correct submission channel the first time. Incomplete requests are the single biggest cause of prior authorization delays. We eliminate them.
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Active tracking on every pending request
We don't submit and wait. Every open authorization is tracked daily. If a payer requests additional information, we respond fast. If a request goes quiet, we follow up. Nothing ages without attention.
Authorization window control
We track unit balances, approval windows and renewal deadlines across every active client. Renewal alerts go out at 30 days, 10 days and zero days. Sessions never become unbillable because a renewal was missed.
30 days
10 days
0 days
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Clinical documentation QA before it leaves your practice
Before any request is submitted, we review your intake records, treatment plans and session notes to confirm medical necessity is clearly established and documentation matches payer expectations. This prevents the most common technical denial: insufficient documentation.
Who We Serve
Built for Your Practice.
Backed by Our Expertise.
Prior authorization looks different depending on your specialty and payer mix. We work with the practices where authorization pressure is highest and the cost of delays is most direct.
ABA prior authorization is among the most complex in behavioral health. Authorizations expire every 90 days. So Many ABA authorizations renew every 90 to 180 days, depending on payer rules. Payers require detailed progress documentation. We manage the full ABA prior authorization cycle so your clinical team keeps delivering care without billing interruption.
Therapy and Rehabilitation Practices
Physical therapy, occupational therapy and speech therapy providers face recurring authorization cycles that consume administrative time every week. We keep those cycles moving without pulling your staff into payer portals and phone queues.visit limits, plan-of-care updates, re-evaluations and medical necessity reviews.
Behavioral health payers apply strict medical necessity standards and short approval windows. Getting the documentation right the first time is what separates approved requests from denied ones. We know what each major payer wants and build submissions around it and short approval windows, documentation reviews and medical necessity checks.
We Strengthen Every Step of the Prior Authorization Process
We map payer rules before we submit.
Every payer has different criteria, forms, and submission channels for prior authorization. We build a payer-specific rule map before the request goes out, so it's submitted right the first time.
We QA documentation before anything goes out.
Thin documentation is the fastest route to a delay or denial. We review intake records, treatment plans and medical necessity notes before submission and flag gaps before the payer does.
We submit through the payer's preferred channel.
Strong documentation still stalls if it goes through the wrong process. Portal, fax, payer form, or electronic workflow, we match each payer's required channel so the request reaches the right reviewer without delay.
We manage pend resolution and escalation.
Pending is not approved. We track every open request, respond fast when payers ask for more and escalate anything sitting too long before it becomes a billing problem
We stay ahead of renewals.
Renewals are where practices lose revenue quietly. We track approval windows, unit balances and reauthorization deadlines so services never go unbillable because an approval expired unnoticed.
What You Can Expect with Us
Faster Approvals. Stronger Revenue. Fewer Denials.
Faster payer decisions.
Complete, well-documented requests move faster. When payers don't have to chase missing information, approvals come back in days, not weeks. Our submission accuracy rate means most requests reach a decision without a single follow-up request from the payer.
Fewer authorization-related denials.
Most authorization denials are preventable. We catch missing documentation, expired windows, wrong forms and incorrect channels before submission. We address every one of those on the front end. Denials that do happen get worked immediately, not filed away.
When authorizations are tracked, renewals are handled proactively and submissions go out clean, prior authorization stops being a daily fire drill. You know what's approved, what's pending and what's coming due. That visibility changes how a practice plans and grows.
Less time spent on non-clinical administration.
CMS estimates prior authorization costs providers an average of 13 hours per week in administrative time. That's time your clinical staff or office coordinator is not spending on patient care. We take that time back.
Pacemave Works for Growing Healthcare Practices
Scaling a practice creates authorization pressure in both directions. You are adding clients faster than your authorization process can keep up.
At the same time, each new client brings a new payer, a new approval window and a new set of rules to track.
New Provider
Workflow Updated
Provider Setup
Credential Check
Billing Logic
New Payer
Rules Mapped
Fee Schedule
Auth Rules
Payer Edits
Practice Growth
Process Scales
More Claims
QA Automation
Faster Payments
Pacemave delivers reliable authorization management with clear pricing, structured workflows and senior oversight. Practices reduce administrative costs and maintain better control over payer requirements.
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Predictable hourly pricing with no hidden fees
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One-time setup for payer rules and workflows
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Senior oversight backed by a 90-day guarantee
Fixed Hourly Rates. Predictable Monthly Costs
Clear pricing with no hidden authorization management fees.
One-Time Onboarding. No Repeat Setup Costs
Payer rules and workflows are built once.
Lower Overhead. Fewer Staffing Challenges
Avoid salaries, benefits, training and employee turnover.
Senior Management Oversight Included
Experienced leaders review every authorization account.
90-Day Satisfaction Guarantee
We correct and rebuild workflows when needed.
Why Practices Choose Pacemave
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