Prior Authorization and VOB Services

Accelerate approvals and protect your revenue with East Billing’s Prior Authorization and VOB services. We take the hassle of insurance verifications off your plate, reducing claim denials and administrative delays. Focus on patient care while we ensure every service is covered, maximize collections, and streamline your practice effortlessly.

The Costly Challenges of Prior Authorization and VOB Services

Managing prior authorizations and verifying patient benefits can feel like an endless maze for providers. Insurance rules are complex, constantly changing, and vary by payer, making the process prone to errors. These hurdles drain staff time, frustrate patients, and put your practice’s revenue at risk.

40% of claims denied due to missing or incorrect authorizations
Staff spend 10+ hours/week chasing insurance approvals
Up to 25% of potential revenue delayed or lost due to verification errors
50% of patient visits face delays because of incomplete benefit check
Frequent payer rule changes lead to confusion and repeated rejections

These issues occur because insurance processes are complex, inconsistent, and highly time-consuming. Mistakes in prior authorization or VOB can lead to denied claims, cash flow interruptions, and increased administrative stress. Left unchecked, these struggles can slow practice growth, frustrate your team, and risk patient satisfaction.

Claim Denials & Delays

Administrative Burden

Patient Experience Issues

Revenue & Cash Flow Problems

How East Billing Handles Prior Authorization and VOB Services?

East Billing streamlines the process, reduces errors, and ensures your team can focus on patient care while we handle the complex details of Prior Authorization and VOB.

Patient Information Collection

Our team gathers complete patient and insurance details to start the verification process accurately.

Insurance Eligibility Verification

We confirm that the patient’s insurance is active and ready to cover the requested services.

Benefits and Coverage Review

We check the plan to determine what is covered and what the patient may owe.

Medical Necessity Documentation

Clinical notes and supporting reports are collected to justify why the treatment is required.

Prior Authorization Submission

We submit the request to the insurance company with all necessary documentation for approval.

Follow-Up with Payers

Our team regularly contacts the insurance company to prevent delays and ensure approvals are received promptly.

Authorization Confirmation and Recording

Once approved, all authorization details are logged to guarantee smooth billing and claim submission.

Communication with Providers and Patients

We update both providers and patients on approval status to keep everyone informed and avoid confusion.

Proactive Verification That Protects Your Cash Flow

Preventing denials starts long before a claim is submitted. By addressing eligibility, authorization, and benefits verification upfront, practices can avoid costly rework, payment delays, and patient dissatisfaction. A proactive approach ensures every service is approved, documented, and billed the first time.
East Billing focuses on stopping revenue leaks at the source. Our specialists manage the entire verification and authorization workflow, giving your team confidence, your patients clarity, and your practice a faster, more predictable cash flow.

Catch Eligibility Issues Before They Become Denials

Inactive insurance policies and expired coverage are identified early in the process. We verify active eligibility before services are rendered. This prevents rejected claims and wasted staff effort.

Identify Benefit Limits and Coverage Restrictions Early

Coverage caps and exclusions are reviewed in advance. Services are aligned with what the plan allows. This reduces denials tied to non-covered procedures.

Handle Prior Authorization Paperwork End-to-End

Our specialists manage medical necessity documentation. Medicare and commercial authorization forms are completed accurately. Approvals move forward without administrative delays.

Keep Care on Schedule with Faster Approvals

Consistent payer follow-ups prevent stalled requests. Authorization timelines are actively monitored. Patients receive care without unnecessary waiting.

Verify Deductibles, Co-Pays, and Coinsurance Upfront

We calculate patient responsibility before the visit. Financial expectations are clear from the start. This eliminates surprise bills and billing disputes.

Build Patient Trust Through Price Transparency

Clear coverage explanations reduce confusion and frustration. Patients feel confident about their financial obligations. Trust improves satisfaction and long-term retention.

What We Verify During VOB

Accurate verification of benefits is the foundation of clean claims and satisfied patients. East Billing performs a thorough review of every insurance detail before services are rendered, ensuring coverage is active, costs are clear, and billing errors are eliminated.
By confirming financial responsibility upfront, we help practices avoid denials, reduce patient disputes, and create a transparent, trust-driven experience from the first interaction.

Verification Area	What We Check	Why It Matters
Eligibility Status	Active or inactive coverage	Prevents claims from being denied
Deductibles	Remaining patient balance	Ensures accurate patient billing
Co-pays	Visit-specific charges	Provides upfront cost clarity
Coinsurance	Percentage patient responsibility	Eliminates surprise bills
Coverage Limits	Annual and lifetime caps	Prevents overbilling and rejections

Full-Service Support for Every Insurance Plan

East Billing partners with a wide range of payers to ensure your prior authorizations and benefit verifications are handled accurately and efficiently. Our expertise spans commercial, government, and specialty insurance plans, helping practices reduce claim denials and streamline revenue cycles.

Commercial and Managed Care Plans

We manage prior authorizations and benefit verifications for major commercial and managed care insurers. Our team navigates each payer’s unique rules to ensure claims are approved quickly and accurately.

Government and Medicare Programs

Handling Medicare and Medicaid authorizations requires precision and compliance. East Billing ensures your practice meets all regulatory requirements while minimizing delays for patient care.

Specialty and Niche Payers

Specialty insurers often have complex coverage rules that can lead to denied claims. We specialize in navigating these plans, so your patients receive care on schedule, and your practice avoids revenue loss.

Our Prior Authorization Workflow Timeline

Our streamlined prior authorization process is designed to keep care moving without delays. Each step is handled by experienced specialists who ensure accuracy, compliance, and timely follow-ups with payers. With a structured timeline and proactive communication, approvals are secured faster, claims are cleaner, and revenue flows without interruption.

Step	Action	Outcome
Day 1	Patient information collected	Clean and complete data
Day 1–2	Eligibility and benefit check	Coverage confirmed
Day 2–3	Authorization submitted	Request accepted by payer
Ongoing	Payer follow-ups	Faster approval turnaround
Approval	Authorization logged	Clean claim submission and billing

WHY CHOOSE US

Experience the Difference in Prior Authorization & VOB

At East Billing, we don’t just handle prior authorizations and verifications of benefits, we transform how your practice manages insurance workflows. Our team combines industry expertise, technology-driven processes, and personalized support to reduce denials, accelerate approvals, and protect your revenue.

What sets us apart is our proactive approach. Instead of reacting to claim denials and coverage issues, we prevent them before they happen. From meticulous eligibility checks to complete prior authorization submissions, we ensure every step is accurate, timely, and aligned with each payer’s rules. Your practice experiences fewer delays, cleaner claims, and a smoother revenue cycle.

Reduced Claim Denials

Our thorough verification of benefits and eligibility catches issues before claims are submitted, protecting your revenue.

Upfront Patient Cost Clarity

Deductibles, co-pays, and coinsurance are confirmed before visits, eliminating surprise bills and improving patient trust.

Payer Expertise Across the Board

From commercial and government to specialty plans, we know each payer’s rules and handle them accurately.

Dedicated Support Team

Our specialists manage all communications with insurers, ensuring approvals are received and recorded without burdening your staff.

Regulatory Compliance

All processes meet payer and regulatory requirements, reducing risk and keeping your practice fully compliant.

Customizable Workflows

Our services are tailored to your practice’s size, specialty, and needs, creating efficient, repeatable workflows.