Referral, Pre-cert and Authorization Services

DID YOU KNOW THAT ALL YOU HAVE TO DO IS CALL OR EMAIL ONE OF US…

Jennifer Kohlscheen
Referral and Pre-Cert Manager
 (303) 530-4625
jkohlscheen@bvipa.com

Linda Lawton
Referral and Pre-Cert Specialist
(720) 398-6399
llawton@bvipa.com

 AND WE WILL HANDLE ALL OF THESE RESPONSIBILITIES FOR YOU…

  1. Referral requests from PCP to Specialist
  2. Obtaining authorizations for Surgery, Imaging or Medications
  3. Verifying Benefits, Eligibility and In-Network status of providers

SPARING YOUR PRACTICE FROM DEALING WITH…

  1. Staying current with the unique requirements of each insurance plan
  2. The time and energy that medical staff spends interacting with insurance companies
  3. The number of telephone calls that must be made
  4. Process interruptions when staff is out on vacation
  5. Hiring and managing staff to handle it

AND THIS IS WHAT MAKES US GREAT…

  1. It’s cheaper to pay us, (an average small practice saves thousands in wages & benefits)
  2. A single-entry point for submitting all requests for all health plans, (web Portal)
  3. Non-urgent requests handled within 24 hours Mon – Fri
  4. Urgent requests handled immediately Mon – Fri, (as soon as all required info is obtained)
  5. We can escalate claims issues when we’ve obtained the authorization
  6. We will auto notify you as soon as it’s approved, denied or needs more info
  7. 15 years of expertise dealing with the nuances of payer utilization programs
  8. We stay current with all health plan requirements
  9. A supportive local team provides personalized help for new staff
  10. We encourage feedback suggesting ways that we can do better

YOU PAY A NOMINAL PER TRANSACTION FEE…

  • Authorization/Pre-Cert
  • Referral
  • Benefit Check
  • $  BVIPA member discounted pricing