Revenue Cycle Management
Prior Authorization Services
Boost Cash Flow with Prior Authorization Services
TruBridge Prior Authorization Services help you reduce rejections, improve patient satisfaction, and increase upfront collections. Our experienced Pre-Service team verifies insurance, tracks authorizations, and estimates patient liability. Their support frees up your staff to focus on patient care and helps reduce delays and denials.
Our team of Pre-Service experts will help ease the workload for registration, billing and collections staff while,
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increasing cash flow
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promoting patient satisfactions
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reducing denials
Verify Eligibility and Benefits
Reduce surprise rejections due to invalid insurance with real-time insurance eligibility verification. Ensure active coverage before the appointment and reduce rework across billing and collections.
Obtain and Track Authorizations
Further reduce rejections along with the need to file for retro-authorizations. Then count on TruBridge to follow up on pending authorizations.
Verify in-network/out-of-network Status
Stay compliant with the No Surprises Act and inform patients about potential out-of-network billing before care is delivered.
Create Patient Liability Estimates
Increase point-of-service collections by helping patients understand their expected costs up front. Clear estimates, enabled through our Patient Liability Estimator (PLE) or a third-party tool, lead to higher payment rates and improved patient trust.
Complete Pre-Registration
Increase patient satisfaction by ensuring the check-in process is speedy and stress free. You’ll also avoid common claim rejections due to incorrect demographic information.
Collect Copays and Deductibles
Boost your financial performance with proactive copay and deductible collection while freeing up your staff to focus on other areas of the revenue cycle.
FAQ
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By proactively verifying insurance eligibility, confirming coverage, and securing required authorizations in advance, TruBridge helps healthcare providers avoid common causes of claim denials. We also track pending requests and reduce the need for retroactive authorizations or appeals.
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Yes. Our team verifies patient eligibility and benefits in real time, helping you avoid claims rejections due to inactive or incorrect coverage. This step also supports compliance with the No Surprises Act and improves scheduling efficiency.
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By confirming a patient’s in-network or out-of-network status and estimating their out-of-pocket costs before service, TruBridge helps providers meet transparency and billing requirements under the No Surprises Act—while avoiding unexpected charges and disputes.
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Absolutely. With verified coverage, approved authorizations, and clear cost estimates, TruBridge enables healthcare providers to collect copays and deductibles before service—improving cash flow and reducing bad debt.
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