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NewBecker's 2026 Top RCM · Inc. 5000 · Dallas 100
A behavioral health platform grew collections by $2.4M / year with Plutus Health →
SOC 2 Type 2 · HIPAA · BHCOE · CASP

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Prior Authorization Services

Plutus Health brings experienced authorization specialists and OlympusAI together to streamline prior authorization, utilization review, retro-authorizations, and payer appeals, helping healthcare providers move care forward while protecting revenue.

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<5%
Authorization-Related Denials
SCP Health, 2018
<48
Average Turnaround Time
SCP Health, 2018
98%
Net Collection Rate
SCP Health, 2018
24/7%
Authorization Support
SCP Health, 2018

Why Prior Authorization Matters

Our Prior Authorization Services reduce administrative burden, improve approval rates, and ensure medically necessary services receive timely payer authorization before treatment begins.

Prior Authorization Management
Prior Authorization Management

We obtain payer approvals before services are rendered, reducing authorization-related denials and preventing unnecessary treatment delays.

Retro Authorization Support
Retro Authorization Support

When unexpected situations arise, our specialists handle retro-authorizations quickly to help you recover reimbursement for eligible services already provided.

Utilization Review
Utilization Review

Clinical documentation is reviewed against payer-specific medical necessity requirements to improve approval rates and reduce unnecessary denials.

Authorization Appeals
Authorization Appeals

Denied authorizations are supported with clinical documentation, payer-specific evidence, and structured appeal strategies to maximize approval success.

How Plutus Improves Authorization Performance

Our Prior Authorization Process

Assessment
Assessment

We review your current authorization workflows, payer mix, denial trends, and turnaround times to identify opportunities to improve operations.

Authorization Management
Authorization Management

Our specialists manage prior authorizations, utilization reviews, documentation requests, and payer communication before services are performed.

Continuous Follow-Up
Continuous Follow-Up

Authorization requests are actively monitored, escalated when necessary, and tracked through approval to reduce delays and missed deadlines.

Performance Monitoring
Performance Monitoring

Executive dashboards monitor approval rates, turnaround times, authorization-related denials, and payer performance to optimize workflows continuously.

Specialties We Support

30 minutes · No commitment

Let Plutus Health simplify prior authorizations, improve approval rates, and reduce administrative burden with AI-powered authorization management and experienced reimbursement specialists.