AuthNet

AuthNet provides outsourced prior authorization and precertification services for hospitals, ambulatory surgical centers, physician practices, and ancillary healthcare providers across the United States. The company handles the complete prior authorization workflow including eligibility verification, benefits checking, authorization submissions, denial management, and status tracking through a secure portal.

The company's service model combines automated technology through their virtual assistant "Auggie" with experienced authorization specialists who manage complex cases and payer interactions. AuthNet guarantees 24-48 hour follow-up on all authorization submissions and integrates directly with client billing systems or their proprietary portal. The team manages over 100 years of combined healthcare and medical billing experience focused specifically on the authorization process.

AuthNet reports that clients achieve 50-60% cost savings per authorization compared to in-house processing. The company offers both full-service and supplemental authorization support without long-term contract requirements, positioning itself as a flexible solution for practices dealing with increasing precertification demands.

Consider AuthNet when authorization volumes are creating appointment delays, staff burnout, or billing inefficiencies. The service works particularly well for practices that want to eliminate the need to train and retain in-house authorization staff while insurance requirements continue to evolve.

Expect a boutique-style implementation process with direct portal integration and specialist assignment. The company's willingness to provide supplemental support rather than requiring full outsourcing may appeal to organizations wanting to test the service or maintain partial in-house capabilities.

AuthNet operates exclusively in the healthcare sector, serving hospitals, health systems, physician practices, labs, and radiology centers. The company's entire service model is built around healthcare-specific prior authorization requirements, insurance payer relationships, and HIPAA-compliant data handling.

The team maintains current knowledge of Medicare, Medicaid, and commercial payer authorization policies across different service types and specialties. This healthcare-exclusive focus allows the authorization specialists to navigate complex clinical documentation requirements and peer-to-peer review processes specific to medical services.

Mid-size to large physician practices, ambulatory surgery centers, hospital outpatient departments, and specialty providers (particularly labs and radiology) experiencing high authorization volumes. Best fit for organizations where authorization delays are impacting scheduling efficiency, staff satisfaction, or revenue cycle performance and where cost-per-authorization is a measurable concern.