Benefits Verification & Prior Auth
Verify Insurance.
Approve Prior Auth
— Before Day One.
HNA verifies patient insurance benefits and handles prior authorization requests so your practice never faces surprise denials, delayed treatments, or revenue loss.
99%
Verification
Accuracy
Accuracy
24hr
Prior Auth
Turnaround
Turnaround
500+
Payers
Covered
Covered
98%
Auth Approval
Rate
Rate
99%
Verification Accuracy
24hr
Prior Auth Turnaround
500+
Payers Covered
✓
98%
Auth Approval Rate
4 hrs
Avg Verification Time
M
A
U
C
+496
500+ Payers
JD
John Davidson
BlueCross BlueShield — PPO Plan · ID: BCB-4821
✓ Verified
Benefits Summary
$450
Deductible
Remaining
Remaining
$35
Specialist
Copay
Copay
20%
Coinsurance
Rate
Rate
$2,100
OOP Max
Remaining
Remaining
Active
Policy
Status
Status
Auth!
Prior Auth
Required
Required
Prior Authorization Tracker — MRI Lumbar Spine
✓
Request
Created
Created
✓
Docs
Submitted
Submitted
⏳
Payer
Review
Review
📋
Decision
Pending
Pending
✅
Auth
Approved
Approved
Understanding Our Services
Benefits Verification &
Prior Authorization Explained
Two critical services that protect your practice from claim denials, delayed treatments, and revenue loss — HNA handles both so your staff can focus on patient care.
What is Insurance Benefits Verification?
Insurance benefits verification confirms a patient's active coverage, deductibles, copays, coinsurance, and out-of-pocket maximums before treatment — eliminating billing surprises for both provider and patient.
HNA verifies benefits in real-time with 500+ insurance payers, giving your front desk accurate financial information before every appointment.
- Confirms active coverage before the patient arrives
- Identifies deductibles, copays, and coinsurance amounts
- Flags coverage gaps and coordination of benefits issues
- Reduces claim denials caused by eligibility errors by up to 90%
- Improves patient collections with accurate upfront estimates
Benefits Verification Workflow
✓
Patient Appointment Scheduled
HNA receives patient & insurance info
Done
✓
Real-Time Eligibility Check
Verified with payer via EDI 270/271
Verified
3
Benefits Report Generated
Deductibles, copays, OOP max confirmed
In Progress
4
Practice Notified
Full report sent to your billing team
Pending
5
Patient Visit Proceeds
No surprises — accurate billing guaranteed
Upcoming
What is Prior Authorization (Prior Auth)?
Prior authorization is a mandatory pre-approval required by insurance payers before certain medical procedures, medications, or specialist referrals can be performed and reimbursed. Without it, claims are automatically denied.
HNA manages the entire prior auth process — from submission to approval — so your patients receive timely care and your practice gets paid without delays.
- Identifies which procedures require prior authorization from each payer
- Prepares and submits complete prior auth requests with clinical documentation
- Follows up daily with payers until a decision is received
- Appeals denied authorizations with supporting medical necessity documentation
- 98% approval rate — reducing treatment delays and revenue loss
Prior Authorization Workflow
✓
Auth Requirement Identified
HNA checks payer guidelines for procedure
Done
✓
Clinical Docs Compiled
Medical necessity documentation prepared
Done
✓
Auth Request Submitted
Submitted to payer via portal/fax/phone
Submitted
⏳
Payer Review & Follow-up
Daily follow-up until decision received
In Review
5
Approval Received
Auth number provided — treatment proceeds
Pending
Prevent Claim Denials
90% of claim denials are preventable. Benefits verification and prior auth catch eligibility issues before claims are submitted — protecting your revenue cycle.
90%
of denials are preventable
Faster Treatment Approvals
HNA's dedicated prior auth team processes requests within 24 hours — so your patients receive timely care without delays caused by authorization bottlenecks.
24hr
average turnaround time
Protect Your Revenue
Every denied claim costs your practice time, staff resources, and often the full payment. HNA's verification services ensure you collect every dollar you've earned.
98%
prior auth approval rate
Our Performance
Numbers That Prove
Our Results
Real performance metrics from real practices. HNA's benefits verification and prior authorization services deliver measurable results — fewer denials, faster approvals, and more revenue collected.
99%
Verification Accuracy
Real-time eligibility checks with 500+ payers — accurate every time
↑ Industry Leading
4hr
Avg Verification Time
Benefits verified within 4 hours of scheduling — before the patient arrives
↓ Fastest Turnaround
98%
Prior Auth Approval
98% of prior authorization requests approved on first submission
↑ Best in Class
500+
Payers Covered
Medicare, Medicaid, BlueCross, Aetna, United, Cigna and 500+ more
↑ All Major Payers
90%
Denial Reduction
After implementing HNA verification
24hr
Prior Auth Turnaround
Average decision time with HNA
800+
Practices Served
Across all 50 states nationwide
$0
Setup Fee
Start verifying benefits today — free
Our Services
Complete Verification &
Prior Auth Services
HNA provides end-to-end benefits verification and prior authorization services — covering every payer, every specialty, and every step of the process.
Get Free Demo →Insurance Benefits Verification Services
HNA verifies patient insurance benefits in real-time before every appointment — confirming eligibility, coverage details, and financial responsibility so your practice never faces billing surprises.
01
Real-Time Eligibility Verification
Instant insurance eligibility checks via EDI 270/271 transactions — verified directly with payers before the patient's appointment.
02
Comprehensive Benefits Analysis
Full breakdown of patient benefits — every detail your practice needs to bill accurately and collect confidently.
Deductibles & amounts met
Copay & coinsurance amounts
Out-of-pocket maximum
In-network vs out-of-network
Coverage effective dates
03
Secondary Insurance Verification
Verifies coordination of benefits (COB) for patients with multiple insurance plans — ensuring correct primary/secondary billing order.
04
Coverage Effective Date Check
Confirms insurance is active on the date of service — preventing claims submitted for lapsed or terminated policies.
05
Specialty-Specific Verification
Specialty-focused benefit checks including mental health parity, DME coverage, therapy visit limits, and surgical benefit verification.
06
Verification Reporting & Alerts
Detailed verification reports delivered to your team — with automatic alerts for coverage gaps, high deductibles, or prior auth requirements.
Prior Authorization Services
HNA handles the entire prior authorization process — from identifying requirements to obtaining approval — so your patients receive timely care and your practice avoids authorization-related denials.
01
Auth Requirement Identification
We check each payer's guidelines to identify which procedures, medications, and referrals require prior authorization — before treatment is scheduled.
02
Prior Auth Submission & Management
Complete management of the prior auth lifecycle — from first submission to final approval or appeal.
Clinical documentation compilation
Medical necessity letter preparation
Portal, fax & phone submission
Daily payer follow-up calls
Auth number tracking & storage
03
Denial Appeal Management
When prior auth is denied, HNA files a formal appeal with peer-to-peer review requests and additional clinical documentation to overturn the decision.
04
Urgent & Expedited Auth
For urgent medical situations, HNA expedites prior auth requests — working directly with payer medical directors for same-day or 24-hour approvals.
05
Auth Renewal & Extension
Manages ongoing authorization renewals for chronic conditions, recurring treatments, and long-term therapy — so approvals never lapse.
06
Auth Status Tracking & Reporting
Real-time tracking of all pending authorizations with status updates, expiration alerts, and monthly performance reports for your practice.
4hr VerificationBenefits verified same day
24hr Prior AuthApprovals within 24 hours
500+ PayersAll major insurers covered
HIPAA CompliantFully secure & confidential
No Setup FeeStart today — zero cost
How We Work
Our Step-by-Step
Process
From patient scheduling to final approval — HNA follows a structured proven process for both benefits verification and prior authorization, delivering results every time.
✓
Patient
Scheduling
Scheduling
Day 1
✓
Insurance
Info Collected
Info Collected
Day 1
3
Real-Time
Verification
Verification
Within 4hrs
4
Report
Delivered
Delivered
Same Day
5
Patient
Visit Ready
Visit Ready
Day of Visit
STEP 01
Patient Scheduling
- Appointment booked in system
- HNA receives notification
- Verification queue created
Day 1
STEP 02
Insurance Info Collection
- Patient insurance ID collected
- Group & member number verified
- Payer identified & matched
Day 1
STEP 03
Real-Time Verification
- EDI 270/271 eligibility check
- Full benefits breakdown retrieved
- Deductibles & copays confirmed
- Prior auth flags identified
Within 4hrs
STEP 04
Report Delivered
- Full benefits report sent
- Coverage gaps flagged
- Patient estimate prepared
Same Day
STEP 05
Patient Visit Ready
- Front desk informed
- Patient notified of cost
- No billing surprises
Day of Visit
✓
Auth
Identified
Identified
Day 1
✓
Docs
Prepared
Prepared
Day 1
✓
Request
Submitted
Submitted
Day 1–2
⏳
Payer
Follow-up
Follow-up
Daily
5
Auth
Approved
Approved
Within 24hr
STEP 01
Auth Requirement Identified
- Payer guidelines checked
- Procedure auth status confirmed
- CPT codes cross-referenced
Day 1
STEP 02
Clinical Docs Prepared
- Medical necessity letter drafted
- Clinical notes compiled
- Supporting records attached
Day 1
STEP 03
Request Submitted
- Submitted via payer portal
- Fax/phone backup if needed
- Confirmation number recorded
Day 1–2
STEP 04
Daily Payer Follow-up
- Daily payer status checks
- Escalation if delayed
- Peer-to-peer if needed
- Real-time status updates
Daily
STEP 05
Approval & Treatment
- Auth number provided
- Expiration date tracked
- Treatment proceeds safely
Within 24hr
Ready to Verify & Authorize Today?
Zero setup fee — HNA handles everything from day one.
Why Choose HNA
Why Providers Choose HNA
for Verification & Prior Auth
Most billing companies treat verification as an afterthought. HNA built a dedicated team around it — faster turnarounds, higher approval rates, and zero surprises for your practice.
Same-Day Verification — 4 Hour Turnaround
Most companies take 24–48 hours. HNA verifies patient benefits within 4 hours — giving your front desk accurate information before every appointment.
4hrs Avg Turnaround
98% Prior Auth Approval on First Submission
Our certified auth specialists prepare complete, payer-specific documentation — resulting in 98% of prior auth requests approved without resubmission.
98% First-Pass Approval
500+ Payers — All Specialties Covered
Medicare, Medicaid, BlueCross, Aetna, United, Cigna and 500+ commercial payers — across all medical specialties including mental health, DME and surgical procedures.
500+ Payers Nationwide
100% HIPAA Compliant — Fully Secure
All verification and prior auth processes strictly follow HIPAA privacy and security standards. Patient data is fully protected at every step.
HIPAA Certified
Denials Prevented Annually
90%
Reduction in Eligibility-Related Denials
Practices that switch to HNA see an average 90% drop in claim denials caused by eligibility and authorization errors — within the first 60 days.
4hr
Verification Speed
Same-day results
24hr
Prior Auth Speed
Fastest in market
98%
Auth Approval Rate
First submission
$0
Setup Fee
Start today free
Verification
99%
Prior Auth
98%
Denial Prevent
90%
Satisfaction
100%
Feature
HNA Business Group
Other Companies
Same-Day Verification (4hrs)
✅
❌
98% Prior Auth Approval Rate
✅
❌
500+ Payers Covered
✅
⚠️ Limited
Denial Appeal Management
✅
❌
Urgent Same-Day Auth
✅
❌
Zero Setup Fee
✅
❌
Transparent Pricing
Simple Per-Transaction
Pricing — No Surprises
Pay only for what you use. No monthly minimums, no hidden fees, no long-term contracts. HNA's per-transaction pricing is 40–50% below US market rates — with no compromise on quality.
Per Transaction Pricing
40–50% Below US Market Rates
⭐ Most Popular
Service 01
Benefits Verification
Starting from
$
3
/ per patient
Real-time eligibility check
Full benefits breakdown
Deductible & copay confirmed
Report delivered same day
Volume Discount
100–499/month $3.00
500+/month $2.50
Service 02
Prior Authorization
Starting from
$
15
/ per auth
Full auth submission
Clinical docs prepared
Daily payer follow-up
Status updates included
Volume Discount
50–99/month $15.00
100+/month $12.00
Service 03
Auth Denial Appeal
Flat rate
$
10
/ per appeal
Formal appeal filing
Peer-to-peer review
Additional docs submitted
Follow-up until resolved
Note
No charge if not overturned
Service 04
Urgent / Rush Auth
Rush rate
$
25
/ per auth
Same-day processing
Direct payer escalation
Medical director outreach
Priority queue handling
Turnaround
Response within 4–8 hrs
First 30 Days Free
Try HNA's verification & prior auth services completely free for 30 days — no credit card required
Save 40–50% vs US Rates
US market charges $8–$45 per transaction. HNA delivers the same quality at a fraction of the cost
Get Your Custom Quote Today
No setup fee • No contract • Cancel anytime
❌ US Market Rates
Benefits Verification: $5–$8 per patient
Prior Authorization: $25–$45 per auth
Auth Appeal: $20–$35 per case
Urgent Auth: $50–$75 per case
Setup fees + monthly minimums
VS
✓ HNA Pricing
Benefits Verification: $3–$5 per patient
Prior Authorization: $12–$15 per auth
Auth Appeal: $10 per case
Urgent Auth: $25 per case
Zero setup fee, no minimums
Get Started Today
Now Accepting New Practices
Stop Claim Denials.
Start Getting Paid Faster.
Get HNA's benefits verification and prior authorization services — 30 days free, no setup fee, no commitment. Your practice starts seeing results from day one.
Benefits Verification
Starting at $3 per patient verification
From $3
Prior Authorization
Starting at $15 per auth submission
From $15
4hr Verification
Same-day results before patient visit
Same Day
First 30 Days Free
No credit card — zero commitment
$0 Cost
★★★★★
4.8 (340+)
GoodFirms
★★★★★
★
Trustpilot
★★★★★
4.8
🔒 HIPAA
✅ No Setup Fee
🏥 800+ Practices