Confirm the path
We review the available payer workflow, required fields, supporting-document list, and submission channel.
Prior authorizations
Prior authorization coordination without the status chase
Bring payer requirements, supporting documents, submissions, status checks, and response follow-up into one visible administrative path.
What can be included
Define the work before it enters the queue
Organize payer requirements, supporting documentation, submissions, status checks, and follow-up without losing track of the next step.
Final responsibilities, systems, payer channels, and reporting expectations are confirmed during onboarding.
- Available payer requirements reviewed for the requested item or service
- Required forms and supporting documents organized for submission
- Requests submitted through the payer’s accepted workflow
- Reference numbers, status, and outstanding requests tracked
- Payer requests for more information routed to the appropriate team member
- Decision or denial information documented for the practice’s next step
How we work
One accountable path from intake to follow-up
The workflow is adapted to the agreed service—not copied from a one-size-fits-all checklist.
Coordinate the request
Practice-provided clinical and administrative information is organized and submitted through the applicable channel.
Track the response
Status checks, requests for more information, and payer responses are recorded and communicated to your team.
Prepare for onboarding
A clearer start reduces avoidable back-and-forth
These are useful starting points for a consultation. Sensitive information is exchanged only after an approved process is in place.
Request details
Your team identifies the requested service or item and supplies the relevant member, payer, and ordering-provider information through an approved channel.
Clinical support
The treating or ordering team provides the clinical documentation and answers medical-necessity questions; iBAC does not create clinical records.
Escalation owner
Designate who should receive requests for missing information, peer review, appeal decisions, or other clinical follow-up.
Clear responsibility
Coordination supports the process; it does not replace payer or clinical decisions
Healthcare administration depends on complete information, provider participation, payer-specific requirements, and decisions made outside iBAC. We define what iBAC will coordinate, what remains with your team, and how exceptions are escalated.
Service questions
Know what to expect before we begin
Exact requirements and timelines vary by payer, plan, entity, request type, and the information available.
Does an authorization mean the service is covered and paid?
Not necessarily. Authorization, coverage, eligibility, medical-necessity review, and claim payment are related but distinct payer processes. The applicable plan and payer make those determinations.
Who decides the request and how long it takes?
The payer makes the decision. Requirements and response times vary by payer, plan, request type, urgency, submission method, and whether more information is needed. We track the request and communicate the available status.
Who provides the clinical documentation?
The treating or ordering provider remains responsible for clinical records, orders, and medical-necessity information. iBAC coordinates the administrative submission of the information your authorized team provides.
What happens when a payer asks for more information or denies a request?
We document the response, route it to the designated contact, and coordinate the next administrative step included in scope. Clinical review, peer-to-peer activity, and appeal decisions remain with the appropriate provider.
Are appeals part of routine authorization follow-up?
No. Appeals are distinct from routine submission, status checks, and requests for more information. Any administrative appeal support would need to be explicitly defined, while clinical rationale and appeal decisions remain with the appropriate provider.
Let’s make authorizations easier to manage
Tell us what your practice needs. We’ll help you identify a practical next step.