DME Service Solutions

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Healthcare Authorization

Discover the power of efficient healthcare services with our secure Authorization solutions. Ensure compliance, safeguard sensitive data, and streamline transactions to build trust and streamline delivery. Insufficient preauthorization is a leading cause of denials in numerous healthcare entities. Yet, this can be readily addressed by adopting a streamlined workflow and uniform procedures.

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Take Your Healthcare Authorization Needs to the Next Level

Our comprehensive healthcare prior authorization solutions are designed with your needs in mind, offering you the data security and confidentiality assurance you need. We guarantee maximum accuracy and speed for all transactions while maintaining an ethical approach to protecting sensitive information.

Our Authorization Process

  • STEP 1: DOCUMENT VERIFICATION

    The payer reviews the submitted documents, checking if the requested services are necessary and accurate.

  • STEP 2: ELIGIBILITY CHECK

    The payer assesses the healthcare customer’s eligibility, ensuring coverage for the requested services under their insurance policy.

  • STEP 3: REQUEST SUBMISSION

    We begin the process by sending an authorization request and necessary documents to the payer or insurance company.

  • STEP 4: APPROVAL OR DENIAL

    The authorization request is either approved or denied, depending on the assessment. If approved, we proceed with service delivery. If denied, there may be options for re-evaluation or appeal.

  • STEP 5: NOTIFICATION

    We receive a notification explaining the approved services or reasons for denial.

  • STEP 6: SERVICE ADMINISTRATION

    With approval, we administer the requested services to the healthcare client.

  • STEP 7: CLAIM SUBMISSION

    We submit a claim to reimburse incurred costs after service delivery.

  • STEP 8: REIMBURSEMENT

    The payer processes the claim and reimburses the approved services, completing the authorization cycle.

Simplify Healthcare Complexity With our Top-Tier Authorization Services

Fast, secure, and accurate approval processes.

Strong security measures and compliance protocols to protect sensitive information while following regulations.

Use of advanced tools to quickly and accurately verify client details.

With DME prior authorization services your business can improve performance and increase your customer satisfaction.

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Why Choose DME Authorization Services

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Swift Approvals

Enjoy quick authorization services that guarantee a smoother healthcare operation, reducing delays and improving healthcare customer satisfaction.

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Unmatched Security Standards

Trust in our top-notch data protection protocols for peace of mind at every step of the authorization process.

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100% Compliance Assurance

Meet regulatory requirements quickly through comprehensive compliance management that surpasses industry standards, protecting you from potential issues.

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Tailored Solutions For Your Needs

Our customized authorization services are designed to meet your unique demands, making operations more efficient and streamlined.

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Experienced Team, Proven Success

Depend on our company's seasoned prior authorization experts who bring a wealth of experience and innovation to deliver successful, reliable authorization outcomes every time.

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DME Service Solutions - The Leading Service Provider in the Healthcare Industry

At DME Service Solutions, we take pride in being a human-centered BPO company that caters specifically to the healthcare industry. Our team is highly engaged and specialized to meet your unique requirements. We understand the importance of customer satisfaction and strive to provide tailored solutions that enhance your operations. Our commitment to partnering closely with you sets us apart in the industry and allows us to deliver the best possible service. At DME Service Solutions, our goal is to help you achieve your objectives and exceed your expectations.

+347%

Maintained support for Increase in call volume

-41%

Decrease in average days to collect documents

~15

Days average TAT for hiring

+166%

Increase CGM Orders YOY Q1-22 vs Q1-23

94%

Consistent service level results

-17%

Decrease in avg handling time​

Build your outsourced team to streamline your business performance and increase your customer satisfaction.

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