Prior Authorizations
Keep pending authorizations off your scheduler’s shoulders.
JAWZ provides administrative prior authorization support for interventional pain practices. We track the request, the missing information, and the payer’s response so your team can plan with a clearer picture.
Start with the procedure that is actually planned.
Authorization work begins with the ordered service and the information available for that patient. We check applicable requirements, gather supporting records, and identify details that need clarification before the request goes out.
A change in the procedure, provider, location, or planned date may call for another check. We flag relevant differences so the administrative record does not fall behind the care plan.
Make missing information easy to act on.
A vague request for more documentation creates another round of messages. We identify the outstanding item and explain what it is needed for. Your team can route a focused question to the right person.
JAWZ coordinates the administrative process. Your clinicians supply and clarify the clinical record, decide on treatment, and handle clinical discussions such as peer-to-peer reviews.
Follow the request after it is submitted.
We track receipt and payer responses, record outstanding requirements, and assign the next administrative action. Pending does not tell the whole story. Your team needs to know whether the request is awaiting a payer decision, a clinical response, or an item from the practice.
When a response arrives, we check the approved details against the planned service and flag issues for review. An authorization is not a guarantee of payment.
Treat each stage of stimulation as its own work.
A spinal cord stimulation trial and a permanent implant are separate stages of care. We follow the applicable requirements for each stage and keep the supporting information organized around the request being made.
An earlier approval should not be treated as a substitute for checking the next planned service. If the clinical plan changes, the team needs a clear way to communicate that change to the people handling authorization.
Give the scheduling team usable information.
Our job is to make the administrative status easier to understand before the visit. That means identifying what is complete, what is outstanding, and whose response is needed.
The practice remains responsible for clinical and scheduling decisions. We provide the authorization information and follow-through within the agreed scope so those decisions can be made with better visibility.
Bring your pending list to the review.
We will look at how requests enter your workflow, how records are gathered, and where follow-up is losing momentum. We also discuss your procedure mix and current systems before recommending responsibilities.
If authorization support is part of a broader billing problem, we can define how it connects to coding review, claims, and payment follow-up.
Give your authorization queue a clearer next step.
Start with the requests that are taking the most staff time. We will review the process and propose the work JAWZ can take on.
Review My Authorization Workflow →