Marcus Williams·Prior Authorization Coordinator
Look up prior auth requirements before you submit
See what documentation each payer requires for prior authorization. Reduces back-and-forth from incomplete submissions.
Requirements differ by payer, plan, and procedure
Prior auth requirements aren't standardized. What one payer requires for a procedure, another doesn't. Miss a required document and your submission gets kicked back.
Common pain points
- Each payer publishes requirements in different formats and locations
- Requirements change, sometimes mid-quarter
- Incomplete submissions mean delays and rework
- No single source shows requirements across your payer mix
Requirements lookup by payer and procedure
Search Verity for a procedure and payer combination. See documented requirements including clinical criteria, required forms, and submission details where available.
Requirements by payer
Enter a CPT code and payer. See prior auth requirements pulled from that payer's published guidelines.
Clinical criteria
View medical necessity criteria that determine approval. Useful for confirming documentation before submission.
Forms and submission info
Where payers publish specific forms or submission channels, Verity surfaces them alongside requirements.
Requirement updates
Get notified when requirements change for procedures you search frequently.
What to expect
Verity consolidates prior auth requirements that would otherwise require checking each payer separately. Coverage varies, and not all payers publish detailed requirements.
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