How the Pre-certification Process Works

The function of Azalea Pre-Cert is to collect patient information from medical providers for the purposes of obtaining prior authorizations for in-patient and out-patient procedures in addition to pre-certifications for hospital admissions. To accomplish this, the pre-certification staff at Azalea must transmit patient data to appropriate areas within healthcare organizations in addition to communicating with physician offices and insurance payers for purpose of pre-certification and approval requirements for hospitals, outpatient facilities, and patients.

Azalea℠ Pre-Cert service has the following benefits and features:

• Simple and secure web-based portal
• Tracks and catalogs requests based on status
• Built-in medical necessity verification based on National and Local Coverage Determinations (Medicare NCD/LCDs)
• Email notifications of pre-cert completions and/or status updates
• Streamlined system saves both time and money
• Attracts more services to your facility
• Fast turnaround time and increased customer satisfaction

Use Azalea℠ Pre-Cert for the following services and procedures:

• Hospital Admissions
• MRI / CT / PET-CT / X-Ray
• Outpatient Surgery
• Sleep Studies
• Any other procedure that requires insurance precertification