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ZETTARCM is an industry leader with innovative technology and an expert team. We are a complete Revenue Cycle Management solution that streamlines reimbursements and delivers remarkable results.

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Prior Authorization Services
You’re Losing Patients. Not Because of Care—Because of Authorization Delays. They wait. They reschedule. They go elsewhere. Not because of your treatment, but because insurance held you hostage.
Enough!
We take over the prior auth Issues and fast-track your procedures with payer-approved precision.
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Outsource Prior Authorization Services

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How Much Is Prior Auth Actually Costing You? More Than You Think.

You don’t see it on your income statement. You won’t find it flagged in your EMR. But prior authorization is silently draining your practice—every single day.

You’re losing revenue from procedures that never happen.  You’re losing patients who get tired of waiting. And you’re definitely losing time—the one thing you can’t bill for.

Meanwhile, your highly trained staff—who should be focused on patient care—are stuck on hold with insurance companies, digging through denial codes, and refaxing the same forms they sent last week.

Here’s what that really looks like:

And the worst part? You’ve normalized it. It’s become “just part of doing business.” But it’s not. It’s a crack in the foundation of your operations—and it’s growing.

You didn’t open your practice to become an admin center.You didn’t hire top-tier medical staff to argue with payers.And you definitely didn’t build your clinic to be held hostage by delays and denials.

It’s time to stop absorbing the cost—and start reclaiming what’s yours. More time. More approvals. More revenue. Less chaos.

Not Just Another Medical Prior Authorization Company, We’re the Ones Fixing the System

Most prior authorization solutions are built for volume, not accuracy. They submit requests. We secure approvals—faster, cleaner, and with payer-ready precision.

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The Problem with Most Medical Prior Authorization Companies?

They treat your revenue like it’s optional.

We said no more.

With our end-to-end prior authorization for medical services, we turn your biggest bottleneck into a revenue-driver.

We’re not here to check a box or send faxes.

We’re here to rebuild trust in the billing process—starting with eligibility verification, real-time tracking, payer-specific strategies, and full integration with your EMR.

From ambulatory clinics to hospital systems, we handle the full spectrum of healthcare prior authorization—and we do it without slowing your team down.

Here’s How We Plug Into Your Workflow Without Adding a Single Ounce of Admin Burden

You Send the Case (We Handle the Paper Cuts)

Whether it’s from your EHR, fax, email, or custom intake portal—we grab it, extract what’s needed, and begin eligibility verification instantly. No login. No clunky tech.

We Build a Payer-Ready (Error-Free Submission)

Our billing specialists crosswalk every detail, attach correct documentation, match CPTs, and submit a bulletproof prior auth. Clean, fast, payer-specific.

Real-Time Tracking (No Pending Forever)

You get live updates—auth approved, pending, follow-up required. We chase the payer so your staff doesn’t waste a second on hold.

Approvals Come In. (You Keep Moving)

The moment it’s approved, we deliver it straight to your team and update your system. Clean handoff, zero disruption. Revenue moves forward.

Benefit from our decade-long HIPAA-compliant billing expertise for peace of mind.

What Our Clients See in the First 30 Days with our Healthcare Prior Authorization Services

Improved Revenue Cycle

+18% Revenue Capture Within Weeks

Faster approvals = more procedures = real dollars. We help clients recapture thousands in revenue previously lost in limbo.

Claim Denials and Rejections

70% Fewer Denials

Our payer-specific process doesn’t just “submit”— It anticipates what payers want before they ask. Denials drop. Payments rise.

Timely Documentation

80+ Hours of Staff Time Saved/Month

No more 45-minute payer hold times. No more back-and-forth documentation drama. Your team works with patients, not paperwork.

Compliance

Approvals in <48 Hours on Avg

No more “pending forever. We drive prior auths to the finish line—fast.

Why the Smartest Clinics in High-Volume States Trust Us With Prior Auth?

From the multi-specialty groups of Washington, to the high-volume surgical centers of Texas, and across provider networks in the South and Midwest—one thing is clear:

Practices are done tolerating the drag of broken prior authorization systems. They’re searching for real solutions. They’re Googling terms like “medical prior authorization companies,” and they’re finding us.

Why?

Because we’re not just fast—we’re revenue-focused, payer-savvy, and built to handle the chaos before it starts.

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Our prior authorization solutions are already plugged into real providers across the country—and the results speak louder than promises.

Before vs. After: What Your Workflow Looks Like When Prior Authorization for Medical Services Isn’t Broken

Before Us
After Syncing with Us
Staff on hold with payers for 45 minutes
Approvals taking 7–14 days, delaying patient care
Missed auths = claim denials = lost revenue
Clunky systems no one understands
Team burnout, low morale, and wasted hours
You chasing payers
Real-time status updates—no hold music ever
Approvals in under 48 hours on average
Bulletproof submissions = clean claims = $$ recovered
Seamless plug-in to your existing EMR/EHR—zero training
Team back to doing what they were hired for—caring for patients
We chase. You breathe.
Before Us
After Syncing with Us

Compliance & Software Expertise

We utilize trusted medical billing platforms such as athenahealth, NextGen, Kareo, AdvancedMD, and ModMed, while strictly following HIPAA and CMS compliance standards.

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Why Outsource Medical Prior Authorization Services to ZETTARCM?

When it comes to healthcare prior authorization, the process can be tedious, complex, and frustrating. ZETTARCM is here to make it simple and fast, ensuring your patients get the care they need without unnecessary delays. 

Here’s how we help:

Faster Turnarounds

We expedite approvals with real-time eligibility verification and insurer follow-ups—critical for time-sensitive specialties like cardiology and radiology.

Reduce Administrative Burden
  • No more chasing insurers for updates.
  • Our team handles documentation, appeals, and peer-to-peer reviews.
Cost-Effective Solutions

Save 50%+ compared to in-house staffing. No long-term contracts—scale up/down as needed.

State-Specific Expertise

We manage complex requirements in Texas, Washington State, and nationwide.

Customer Feedback That Makes Us Proud

Don't just take our word for it - see what our happy clients are saying about our personalized medical billing services.

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