Prior Authorization Companies in the USA

Who We Are We are Finnastra, a technology-driven, data-focused revenue cycle management (RCM) and healthcare financial services provider. Established in 2010, we maintain a strong presence in Wilmington, Delaware, with additional delivery centers in Bangalore, India, and operations across the US, UK, and India  Our mission is to combine cutting-edge technology with domain expertise to optimize healthcare operations. At our core, we value Integrity, Openness, Teamwork, Innovation, and Accountability . We simplify complex billing and coding workflows, enabling providers to operate more efficiently and focus primarily on patient care without the administrative burden. Our diverse and experienced staff supports a wide range of specialties, from urgent care, hospital, mental health, and Spravato/ketamine therapy, to dental, hospice, wound care, and remote patient monitoring . We process over...

Who We Are We are Martin Billing Solutions LLC, a Lakewood, Colorado–based medical billing and coding firm founded in 2018. As a team of certified billing and coding professionals, including CPC credentialed specialists, we tailor our services specifically to behavioral health, hospital, surgical, and primary care providers. Our foundation is built on trust, responsiveness, and quality, guided by strong, client-focused leadership. We take pride in delivering HIPAA-compliant and AAPC-certified billing solutions that meet the unique challenges of behavioral healthcare. We also prioritize transparency, proactive communication, and ongoing education to ensure our clients receive accurate, efficient, and fully compliant revenue cycle support. What Services We Offer Our service offerings span the full cycle of medical billing with specialized expertise: Eligibility Verification & Prior Authori...

Who We Are We are CloudVerse Revenues, a Boulder-based revenue cycle management (RCM) and healthcare consulting firm dedicated to reshaping how medical practices operate financially and administratively. As a HIPAA-compliant organization, our commitment is rooted in safeguarding patient data while delivering exceptional support across every stage of a practice’s revenue cycle. We understand the ever-evolving challenges that healthcare professionals face, from managing insurance requirements to keeping up with coding regulations, and we are here to simplify those complexities. At our core, we are driven by a singular mission: to let healthcare providers focus on care, not paperwork. Our systems and services are built with compliance, clarity, and efficiency in mind. Our team comprises experienced professionals with deep expertise in medical billing, coding, accounts receivable (AR) manage...

Who We Are We are Captivate Billing, a Colorado-based revenue cycle management and consulting firm founded in 2015. Specializing exclusively in Emergency Medical Services (EMS) billing, our headquarters is located in Louisville, Colorado, with our main operational office situated in Longmont. Our company is built on a solid foundation of decades of combined staff experience in ambulance billing, a deep understanding of the EMS landscape, and a commitment to technological innovation. At Captivate Billing, we offer a blend of specialized industry knowledge, structured and compliant billing processes, and automation tools that ensure maximum reimbursement efficiency. We are more than a billing vendor, we are strategic partners, helping EMS agencies reclaim revenue, improve compliance, and focus entirely on their core mission of saving lives and serving communities. What Services We Offer Ou...

Who We Are We are BillingScapes RCM Solution, a Colorado Springs–based medical revenue cycle management company dedicated to transforming the way healthcare providers handle billing and administrative operations. Our story began when our founders, Roshan and Dishank, became frustrated by the inefficiencies of traditional spreadsheet-based billing systems. Driven by a desire to create smarter, faster, and more reliable solutions, they combined their expertise in healthcare operations and technology to establish a company rooted in precision, empathy, and innovation. At BillingScapes, we believe that healthcare professionals should be empowered to focus on what matters most, caring for their patients. That’s why we design every aspect of our service delivery to remove administrative obstacles, enhance transparency, and maximize financial performance for our clients. What Services We Offer...

Who We Are We are Superior Medical Management, Inc., a committed and experienced medical billing partner founded in 1997. For more than 25 years, we have helped healthcare providers nationwide take control of their billing operations through expert support, customized solutions, and unwavering integrity. Our headquarters is based in Richardson, Texas, with a secondary office located in Denver, Colorado, allowing us to serve clients across the United States. At the core of our business is a passion for helping medical practices reduce administrative burden so they can focus on what truly matters, providing exceptional care to patients. We believe that billing doesn’t need to be complicated or frustrating. With our guidance, our clients experience transparency, smoother operations, and higher revenue collection. We are not just a service provider, we are your strategic billing partner dedi...

Who We Are We are Mile High Revenue Services, a purpose-driven revenue cycle management firm specializing in behavioral health billing. Founded in 2018 and headquartered in Evergreen, Colorado, our company was built with a foundational purpose: to provide ethical, transparent, and efficient billing support to mental and behavioral healthcare providers. As a husband-and-wife leadership team, founders Will and Lauren Paulick bring together decades of combined experience in healthcare management and clinical social work to form a nimble, high-integrity billing partner. What Services We Offer At Mile High Revenue Services, we deliver proactive, full-cycle revenue cycle solutions designed specifically for behavioral health providers. Our services are comprehensive and targeted, addressing the full administrative spectrum of the billing process: Claim Submission & Revenue Management: We ensure...

Who We Are We are Total Care PT Billing Solutions, LLC, founded by practicing physical therapists who intimately understand the daily challenges of private PT practices. Our leaders, Dr. Christian Robertozzi, PT, and Ashton Moore, built the company after experiencing firsthand the frustrations of handling billing and administrative work while maintaining a full patient load. Dr. Robertozzi, who graduated in 2010 and launched his own clinic in 2017, co-founded this company to reclaim his time and streamline billing. Together with co-founder Ashton, also a clinic owner, they created Total Care to offer the specialized billing support they wished they had. Our team includes experienced billing specialists, insurance verification experts, and a Chief Billing Officer, all aligned around one goal: freeing clinics to do what they do best, treat patients, while we optimize the financial side of...

Who We Are We are Independent Medical Billing LLC, an Arizona-based medical billing and service provider with approximately 25 years of experience. Headquartered in Glendale, we free healthcare providers from tedious billing processes so they can focus on what matters most, caring for patients. Our team integrates seamlessly with practices, managing everything from claims and coding to patient billing with professionalism and accountability. We are dedicated to accuracy, reliability, and ongoing client support. Our success stems from long-standing relationships built on performance, trust, and personalized service tailored to each provider’s workflow and goals. What Services We Offer We deliver a full suite of billing and revenue cycle services designed to streamline operations and maximize financial health: Claims Processing & Submission - Electronic and paper claims processed within 24...

Who We Are We are Professional Medical Billing Center (PMBC, LLC), a U.S.-based medical billing and revenue cycle management firm headquartered in Avondale, Arizona. With roots tracing back to 1995, we’ve built over 25 years of expertise serving a diverse network of healthcare providers nationwide. Our mission is to relieve you from administrative burdens so you can focus on delivering quality patient care. We combine skilled professionals, up‑to‑date compliance knowledge, and real‑time system transparency to ensure clean claims and efficient revenue flow. What Services We Offer We offer a full spectrum of revenue cycle services tailored to your practice needs: Medical Billing & Claims Submission - Full-cycle electronic and paper claim handling within 48 hours. Revenue Cycle Management (RCM) - End-to-end follow-through on claims, A/R, denials, appeals. Accounts Receivable & Denial Manage...

Who We Are We are Integrity Medical Billing, a Tucson-based practice management and medical billing firm proudly delivering over 18 years of specialized expertise in medical billing, coding, and revenue cycle management. Founded and co-owned by Michael Evans and Rachel Medeiros-Vega, our company was built on the pillars of integrity, transparency, and personalized service. Unlike large, outsourced operations, we are a local team that becomes an extension of your practice, offering knowledgeable, one-on-one support that adapts to the unique needs of every healthcare provider we serve. Our staff remains current on evolving policies, including Medicare, Medicaid (AHCCCS), and private payer regulations. We know how overwhelming the administrative side of medicine can be, and we aim to relieve that burden so that providers can focus on what matters most, quality patient care. Every client ben...

Who We Are We are Endless Billing Solutions, LLC, a locally owned and operated billing services firm based in Anchorage, Alaska. Founded by two lifelong Alaskans, Angelena and Destinee, our company was born out of a shared mission to provide dependable, transparent, and personalized billing support to healthcare providers across the state. With strong roots in the local community and firsthand knowledge of Alaska’s unique healthcare landscape, we understand the intricacies involved in navigating medical and dental billing systems. Angelena is a graduate of Alaska Career Academy (2011) and brings valuable experience from working in durable medical equipment, where she specialized in managing Medicaid accounts receivable and pre-authorizations. Destinee, on the other hand, transitioned into billing from the dental field, where she coordinated front-office operations and earned her certific...

Who We Are We are Prestige Billing Solutions, LLC, a dedicated medical billing firm founded in 2012 with a clear and unwavering mission: to provide reliable, integrity-driven, and results-oriented billing services for healthcare providers of all sizes. With over 16 years of combined experience in the billing and revenue cycle management industry, our team brings unmatched expertise and a strong work ethic to every client relationship. We believe that effective billing should be seamless, accurate, and proactive, ensuring providers can focus more on patient care while we take care of the financial backbone of their practice. Our commitment is grounded in building long-term, trusting relationships with our clients. Through consistent communication, transparent reporting, and a personalized approach, we strive to become not just a service provider but a strategic partner in your success. Wh...

Who We Are We are Medical RCM Services, a fully remote yet deeply connected revenue cycle management company headquartered in Scottsdale, Arizona. Our team is comprised of over 14 specialists with 25+ years of combined experience. We bring billing in-house for our clients, offering a personal, seamless, and integrated service experience. We pride ourselves on being experts in medical billing, coding, credentialing, patient engagement, denial management, and more. We use industry-standard tools such as TherapyNotes, Availity, Change Healthcare, Waystar, Athenahealth, Practice Fusion, Kareo, eClinicalWorks, AdvancedMD, CentralReach, and NextGen Healthcare, always working within our clients’ existing systems for full transparency and efficiency. Our mission is built on trust, integrity, and clear communication. We understand that providers need to focus on patient care, not paperwork. That’...

Who We Are We are CPa Medical Billing LLC, founded in 2003 and headquartered in East Haven, Connecticut. A privately held subsidiary of GeBBS Healthcare, we launched with a mission to be a customer-focused alternative to national billing firms. From day one, our goal was to help healthcare providers reduce long A/R days and improve clean-claim rates. Today, our growing team of 51–200 professionals manages billing operations for over 1,200 providers and health centers, including FQHCs, CHCs, tribal clinics, physician groups, and hospitals. We bring specialized expertise in billing, coding, credentialing, patient contact, and RCM technologies. Accredited with HITRUST certification, our company blends financial rigor with industry best practices. We pride ourselves on deploying advanced tech tools like Centricity, Epic, cloud-based AR automation, and proprietary analytics platforms, all whi...

Who We Are We are Compass Medical Billing Services, headquartered in Bridgeport, Connecticut, with a broad regional presence across key U.S. markets. Established to support healthcare providers with billing expertise, we have evolved into a trusted RCM partner for hospitals, multi-specialty groups, urgent care centers, and specialty clinics. Founded on principles of integrity and agility, we combine years of industry knowledge with innovative systems to enhance practice profitability. Our leadership, under healthcare veteran Yvonne Deacon, brings decades of expertise in medical billing, coding, credentialing, denial management, and payer negotiations, ensuring that every client receives strategic, tailored support. What Services We Offer Our services encompass every aspect of revenue cycle management and practice optimization: Medical Billing & Coding - Daily claim entry, electronic and...

Who We Are We are Massconn Medical Billing, a prominent Connecticut-based revenue cycle management firm with over 15 years of industry experience. Located in South Windsor, our mission is to revolutionize healthcare financial operations by combining cutting-edge technology and dedicated personnel to deliver compliance-driven, revenue-optimized services. As a team of expert billing and coding specialists, we are committed to maximizing revenue while minimizing administrative burden for medical practices across the United States. Our dedication to accuracy and transparency powers our reputation as a trusted partner for healthcare providers. What Services We Offer We offer a full suite of RCM services tailored to streamline medical practice finances and ensure industry compliance: Medical Billing & Coding: Daily claim entry, electronic and paper submissions, payment posting, and clean-claim...

Who We Are We are Dental Billing & Consulting Professionals, LLC, a Glastonbury, Connecticut-based company committed to optimizing the financial performance of dental and oral surgery practices. Our firm specializes in comprehensive billing and consulting services tailored for general dentistry and oral & maxillofacial surgery providers. With a deep understanding of the unique challenges dental professionals face in both clinical and administrative functions, we act as a seamless extension of our clients’ front office and billing teams. Our goal is to eliminate administrative bottlenecks, reduce claims rejections, and boost overall revenue performance through expert accounts receivable management and billing support. What Services We Offer We provide a range of tailored services aimed at simplifying dental billing operations and enhancing overall efficiency. Our Insurance-only Billing pa...

Who We Are We are AZ Billing, a dedicated revenue cycle management and medical billing firm deeply rooted in over 40 years of combined industry experience. Headquartered in Greenwich, Connecticut, with a strong presence in the home health and hospice care sectors, we have evolved into a trusted partner for healthcare agencies nationwide. From our origins in healthcare finance, our team has zealously focused its expertise toward improving billing outcomes and ensuring practices are financially stable and operationally efficient. Drawing on decades of practical experience, our professionals are steeped in payer processes, regulatory compliance, and medically accurate coding. We actively participate in industry conferences and remain continuously educated on evolving laws and standards to ensure our clients are always compliant, well-informed, and positioned for success. What Services We Of...

Who We Are We are AdminaHealth, founded in 2016 and based in Greenwich, Connecticut. Built from a vision to modernize employee benefits billing, we provide the industry’s most integrated SaaS platform for consolidating, reconciling, and managing benefit billing and payments. By blending advanced cloud-based technology with expert, white-glove support, our mission is to simplify the entire billing workflow for brokers, carriers, TPAs, employers, schools, unions, and other organizations. Our clients rely on us not just for software, they depend on our partnership, backed by cutting-edge security, compliance, and deep industry knowledge. What Services We Offer AdminaHealth’s SaaS Billing Suite delivers a tightly integrated workflow designed for complete billing automation: Invoice Consolidation: We aggregate premium billing from multiple carriers into one digestible invoice, created with tr...