Prior and Retro Authorization
Prior & Retro Authorization Services
At Global Claim Solutions, missing or incorrect authorizations can lead to costly claim denials, delayed reimbursements, and avoidable revenue loss.
Our Prior & Retro Authorization Services help ensure that procedures and services are properly approved — before care is delivered and, when necessary, after services have already been performed.
Fewer Denials
Authorization workflows designed to reduce preventable denials and payment delays.
Faster Approvals
Timely submissions, documentation support, and continuous payer follow-up.
Revenue Protection
Helping your practice secure approvals and protect reimbursement opportunities.
Eligibility Check
Confirming coverage, benefits, and authorization requirements before services are delivered.
Authorization Submission
Preparing and sending accurate requests with supporting information and forms.
Retro Authorization
Managing missed or urgent cases with strong justification and payer coordination.
Appeals Support
Handling denied authorization cases with documentation and follow-up.
What is Prior & Retro Authorization?
Prior Authorization is the process of obtaining approval from insurance companies before specific services, procedures, or treatments are performed.
Retro Authorization is requested after care has been delivered, usually in urgent or exceptional situations where prior approval was not obtained in time.
Without proper authorization management, practices often face claim denials, delayed payments, lost revenue, and increased administrative burden.
A structured authorization workflow helps improve compliance, speed up payer approvals, and protect the value of services already provided.
Our Prior Authorization Services Include
We help secure approvals quickly and accurately before services are rendered.
Eligibility & Benefits Verification
We verify patient coverage, benefits, and authorization requirements in advance.
Authorization Submission
Our team prepares and submits complete, accurate authorization requests to insurance payers.
Documentation Management
We gather and organize the clinical documentation required to support approval requests.
Real-Time Follow-Up
We continuously follow up with payers to help speed up approvals and reduce delays.
Retro Authorization Services
When prior approval is missed, we step in to help recover reimbursement opportunities through structured retro authorization support.
Case Evaluation
We assess whether a case qualifies for retro authorization based on payer policies and timelines.
Justification & Documentation
We prepare strong clinical and administrative support to justify the request.
Payer Communication
Our team coordinates with insurance companies to pursue approval and protect reimbursement.
Appeals Support
If a request is denied, we manage appeals and follow-ups to improve recovery potential.
Why Choose Global Claim Solutions?
How We Work
Requirement Check
Review patient coverage and identify authorization requirements.
Documentation Prep
Collect clinical records and supporting documents for submission.
Submission
Send complete and accurate requests to the appropriate payer.
Follow-Up
Track request status and coordinate with payers for updates or approvals.
Resolution & Reporting
Finalize approvals, manage retro cases, and report outcomes clearly.
Who We Serve
- Clinics & Medical Practices
- Hospitals & Healthcare Groups
- Specialty Providers
- Diagnostic Centers
- Telehealth Providers
Results You Can Expect
- Fewer authorization-related denials
- Faster approval turnaround
- Stronger revenue protection
- Improved administrative efficiency
Secure Approvals. Protect Revenue.
Avoid costly delays and missed reimbursements with structured prior and retro authorization support from Global Claim Solutions.
Contact us today to streamline your authorization process and safeguard your revenue.