Pre-authorization handled before the service, not after the denial.
Authorizations requested, tracked and documented before care is delivered, so approved services get paid.
What it is and why it matters
Many payers require approval before certain procedures, imaging and medications. If the authorization is missing or does not match the service delivered, the claim is likely to be denied, even though the care was appropriate.
Aube checks authorization requirements by payer and procedure, submits requests with the clinical documentation payers expect, and tracks each case through approval. The approval details are attached to the claim, so billing matches what was authorized.
What we handle
- Authorization requirements checked by payer and procedure
- Requests submitted with supporting clinical documentation
- Status tracked through approval, with follow-up on pending cases
- Approval numbers and dates recorded and attached to the claim
- Coordination with providers when more clinical information is requested
How we handle pre-authorization.
Requirement check
For each scheduled service we confirm whether the payer requires approval and what they need to see.
Request and documentation
We submit the request with the clinical documentation the payer expects, to avoid avoidable back and forth.
Tracking and follow-up
Every request is tracked through to a decision, with follow-up on anything pending.
Record and bill
Approval numbers, dates and units are recorded and attached to the claim so billing matches what was authorized.
What you get with Aube.
Fewer authorization denials
A missing or mismatched authorization is a common reason claims are denied. This step addresses it directly.
Less rework for your staff
Approvals are handled and documented once, instead of being chased after the fact.
Care stays on schedule
Early requests reduce last-minute delays for patients and clinicians.
Pre-Authorization FAQs.
What is the difference between prior authorization and pre-certification?
The terms are often used interchangeably. Both mean getting the payer's approval before a service is performed. Payers use different names, but the goal is the same.
Which services need prior authorization?
It depends on the payer and the plan. Advanced imaging, certain procedures and some medications commonly require it. We check requirements for each payer and procedure.
What happens if an authorization is denied?
We review the reason, gather additional clinical information with the provider's help, and resubmit or appeal within the payer's timeline.
How does authorization connect to billing?
The approval number and dates are recorded and attached to the claim, so billing matches what was approved.
Related services.
Eligibility Verification
Coverage and benefits confirmed before the patient is seen, so front-end rejections never reach your claims.
Learn more →Medical Coding
Certified coders translate clinical documentation into accurate, defensible, compliant claims.
Learn more →Denial Management
Denials triaged fast, appealed properly and traced to their root cause so they stop recurring.
Learn more →Ready to see what's being left on the table?
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