Prior Authorization/Follow-Up

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Frequently Asked Questions

Timelines vary by insurance provider, but Arise Billing Solutions works to secure approvals as quickly as possible by submitting complete and accurate documentation upfront.
We proactively monitor expiration dates and request extensions before coverage ends, preventing treatment disruptions.
Not always. Requirements depend on the insurance plan and level of care. We verify each case individually to determine what is needed.
It significantly improves the likelihood but does not guarantee payment. Final approval still depends on medical necessity and proper documentation.
Outsourcing ensures timely submissions, consistent follow-up, fewer denials, and reduced administrative pressure on your internal staff.

Prior Authorization / Follow-Up

Prior authorization is a critical step that determines whether services can begin without interruption. For treatment facilities, securing timely approvals ensures that patients receive the care they need while preventing costly delays, denials, or administrative setbacks. Arise Billing Solutions manages each stage of the authorization process with precision, allowing your team to stay focused on patient wellbeing.

Understanding the Prior Authorization Process

Prior Authorization (PA) involves obtaining insurance approval for specific levels of care before treatment starts. This includes submitting clinical documentation, confirming medical necessity, and communicating with insurance representatives. Follow-up ensures authorizations remain active, updated, and adjusted as patient needs evolve. Key components include:

Why This Service Matters for Treatment Facilities

Without proper authorization, facilities risk delayed treatment, unexpected denials, or interruptions in patient care. Efficient prior authorization supports a stable clinical workflow by:

This organized process strengthens communication between providers, insurers, and patients.

How Arise Manages Authorizations

Our team handles every step of the authorization process with accuracy and persistence. Arise Billing Solutions ensures your facility receives:

How Prior Authorization Supports Patient Care

Precise authorization management protects patients from treatment delays and ensures continuity through every phase of care. Additional benefits include:

This service helps maintain a stable and supportive treatment environment.

Partner With Arise Billing Solutions

Selecting a billing partner who understands the complexities of treatment authorizations can greatly reduce administrative strain. Arise Billing Solutions combines detailed verification, diligent follow-up, and clear communication to support your team and keep the authorization process moving efficiently. Our goal is to empower facilities with reliable processes that protect both patient care and financial stability.

By partnering with a team focused on accuracy, transparency, and genuine collaboration, your facility gains the support needed to operate with confidence. Arise Billing Solutions helps streamline admissions, reduce claim challenges, and strengthen financial stability, making it easier for your staff to focus on patient care. If your facility is looking for dependable billing expertise and a trusted long-term partner, Arise offers the clarity and commitment you can rely on.

what we do

Our Core Billing Solutions

We provide a comprehensive, end-to-end billing and compliance solution built specifically for treatment providers. Our services ensure accuracy, faster reimbursements, and reliable revenue performance.

Verification of Benefits (VOB)

Fast, accurate verification of insurance coverage so you can make informed admissions decisions from day one.

Prior Authorization & Follow-Up

We handle all authorization requests and follow-ups to ensure approvals are secured quickly and efficiently.

Claim Submission & Management

Clean, timely claim submission with ongoing monitoring to reduce errors and accelerate reimbursement

Claims Follow-Up

Proactive tracking and communication with payers to keep claims moving and resolve delays before they impact revenue.

Medical Records Auditing & Compliance

Detailed auditing of clinical documentation to ensure compliance, accuracy, and support cleaner claims.

Quality Assurance

Continuous review of billing processes, documentation, and payer requirements to maintain optimal performance and accuracy.

Appeals & Denials Management

Comprehensive handling of denials with strategic appeals that recover revenue and prevent recurring issues.

Collections

Ethical, structured collections support that helps you secure outstanding balances while maintaining positive patient relationships.

Why Providers Trust Us

We offer a comprehensive suite of billing and operational support services built specifically for behavioral health and substance abuse treatment providers. With decades of combined expertise in both treatment and billing operations, our team delivers a seamless, accurate, and highly efficient revenue cycle solution that adapts to the unique needs of each facility. From initial verification to final collections, every step is managed with precision, transparency, and strict compliance.

Our provider-centered approach ensures that your billing processes not only run smoothly—but strengthen your organization’s financial foundation. We reduce administrative stress, eliminate inefficiencies, and help you capture the revenue you’ve rightfully earned, allowing your team to stay focused on providing exceptional care. Whether you operate inpatient, outpatient, or multi-location programs, our systems, technology, and support are designed to enhance performance, improve cash flow, and deliver long-term financial stability.

Ethical & Transparent Practices

We operate with integrity at every step, providing clear communication, honest reporting, and trustworthy processes.

100% U.S.–Based Billing Experts

All services are managed by trained U.S. professionals who understand payer requirements, compliance standards, and industry best practices.

Modern, Streamlined Systems

Our technology and workflows reduce errors, accelerate claims, and create a more efficient, predictable revenue cycle.

Proven Industry Experience

With 20+ years of combined billing and treatment experience, we bring strategic insight that helps providers grow with confidence.

Take Control of Your Revenue, Starting Today!

Experience a provider-centered billing solution built for your mission.