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Simplify Prior Authorization Process with Avalon

Empowering Healthcare Providers

Welcome to Avalon PriorAuthorization, your trusted partner in streamlining the prior authorization process for healthcare providers. Our dedicated team effectively manages authorizations, enabling physicians to focus on delivering exceptional patient care while increasing approval rates ensuring patient's satisfaction.

About Avalon PriorAuthorization

about

Our HIPAA-Compliant Service 1

We are committed to maintaining the highest standards of patient privacy. Our process is fully HIPAA compliant and ensures the protection of all Protected Health Information (PHI). We utilize the powerful, HIPAA-integrated Asana platform to securely manage and file requests, maintaining confidentiality and compliance at every step.

With over 5 years in Prior authorizations, we have a dedicate-well seasoned  team specializing in filing all prescription drug prior authorizations on behalf of healthcare providers, expediting requests and ensuring timely approvals.  We take care of the entire process from submissions, follow-ups to communication with payers. Our focus is on relieving the administrative workload for providers, allowing your staff to prioritize patient care and improve operational efficiency.

Hipaa compliance

Mounjaro (Tirzepitide): Universally covered by insurances for type 2 diabetes, Some plans allow for the use of weight loss. (Check with Avalon for Coverage)

Zepbound (Tirzepitide): Covered by a few insurances for the sole purpose of Weight Loss. (Check with Avalon for Coverage)

GLP-1'S
GLP-1'S

Wegovy : Covered by most insurances for the use of  Weight Loss, and Sleep Apnea. (Check with Avalon for Coverage)

Ozempic : Typically covered by most insurances for type 2 diabetes.

Our Mission

Our mission at Avalon Priorauthorization is to ensure timely approvals for all prescription medications such as weight loss GLP-1's (Glucagon-like peptide-1) like Ozempic, Mounjaro, Zepbound, and Wegovy, as well as diabetes, inhalents, etc. It is our utmost care to ensure patients can get coverage through their primary insurance. 

Our Services

Prior Authorization Filing

We specialize in efficiently filing prior authorizations, ensuring accuracy and compliance with insurance requirements to expedite the approval process for medical procedures and treatments.

Appeals Process

Our team assists providers in the appeals process for denied authorizations, advocating for the approval of necessary medical services and treatments to support patient care.

Insurance Verification

We handle the verification of insurance coverage and eligibility, enabling providers to make informed decisions about patient care and treatment plans.

Authorization Follow-Up

We manage the follow-up on pending authorizations, ensuring that providers stay informed about the status of submitted requests and can plan patient care accordingly.

Benefits

Avalon PriorAuthorization has significantly reduced the administrative burden for our practice. Their expertise and dedication have streamlined the prior authorization process, allowing us to focus on patient care.

Efficiency

I highly recommend Avalon PriorAuthorization for their exceptional service. Their team ensures that prior authorizations are handled with precision and efficiency, making a positive impact on our patient care.

Benefits

Time-Saving

Support

Satisfaction

Young Nurse

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