FYNQMEDICAL BILLING
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Revenue Cycle Service

Eligibility & Prior Authorizations

Coverage checked and authorizations secured before the patient is seen.

We verify benefits and obtain required prior authorizations ahead of the visit, so claims aren't denied for eligibility or missing auth after the fact.

What's included

  • Benefit and eligibility verification before visits
  • Prior authorization requests and tracking
  • Authorization status follow-up and renewals
  • Referral coordination where required
  • Front-desk alerts for coverage issues

What it's built to do

  • Designed to reduce eligibility and authorization denials
  • Built to catch coverage gaps before the visit, not after
  • Less rework for your front desk

FYNQ Medical Billing is a B2B revenue cycle partner. We don't guarantee specific revenue or collection results, and we never handle patient data on this site.

Eligibility & Prior Authorizations by specialty

See how eligibility & prior authorizationsworks for your specialty's coding, denials, and payer mix.

Eligibility & Prior Authorizations for Behavioral & Mental HealthEligibility & Prior Authorizations for Family Practice & Primary CareEligibility & Prior Authorizations for CardiologyEligibility & Prior Authorizations for OrthopedicsEligibility & Prior Authorizations for DermatologyEligibility & Prior Authorizations for Internal MedicineEligibility & Prior Authorizations for PediatricsEligibility & Prior Authorizations for GastroenterologyEligibility & Prior Authorizations for Pain ManagementEligibility & Prior Authorizations for OphthalmologyEligibility & Prior Authorizations for OB/GYNEligibility & Prior Authorizations for UrologyEligibility & Prior Authorizations for NeurologyEligibility & Prior Authorizations for Physical Medicine & RehabilitationEligibility & Prior Authorizations for Oncology / Hematology

Want this handled for your practice?

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Common questions

Eligibility & Prior Authorizations, answered

Why verify eligibility before the visit?

Verifying eligibility before the visit catches inactive coverage, wrong plans, and benefit limits before a claim is ever created — which prevents the front-end denials that are among the most common and most preventable. Confirming coverage and benefits ahead of time also lets the front desk address patient cost and coverage issues up front, rather than discovering them weeks later when a denial arrives and the revenue is already at risk.

What is prior authorization and who handles it?

Prior authorization is a payer's requirement to approve certain procedures, medications, or services before they're delivered; without it, the claim is denied regardless of medical necessity. FYNQ requests and tracks required authorizations ahead of the visit, follows up on status, and manages renewals — so authorizations don't lapse mid-treatment. Handling prior auth proactively is designed to remove one of the most frustrating and avoidable denial categories for both staff and patients.

How does eligibility checking reduce denials?

Eligibility and authorization issues are leading causes of front-end denials. Verifying benefits and securing prior authorizations before the patient is seen is designed to stop those denials before they happen, rather than appealing them after the fact. Front-desk alerts flag coverage problems early, which means fewer surprise denials, less rework for staff, and a cleaner claim the first time it's submitted.

Do you coordinate referrals too?

Yes, where a payer requires them. Referral coordination is handled alongside eligibility and prior authorization, because a missing referral can deny a claim just as quickly as a missing auth. Verifying benefits, securing authorizations, tracking renewals, and coordinating referrals are managed together before the visit so coverage requirements are satisfied up front instead of surfacing as denials later.

One partner for the full revenue cycle.

Get a free 30-day claims clean-up and review. No commitment — just a clear picture of the revenue you can recover.

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