Prior Authorization Support for Specialty Medical Practices

At ClearPath Health Services, we excel in helping specialty medical practices manage prior authorizations efficiently, reducing delays and administrative burden so teams can focus on patient care.

  • Pharmacist-led oversight

  • HIPAA-aligned workflows

  • Specialty practice focus

  • Secure communication methods

  • Business Associate Agreements available

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What We Offer

  • We manage the prior authorization process end to end, including intake, form completion, submission, payer follow-ups, and documentation.

  • We track authorization status, respond to payer requests, and communicate updates to your team in a timely manner.

  • When authorizations are denied, we support the appeals process by gathering required documentation and preparing resubmissions.

  • Our services are designed for specialty clinics with high PA volume, including biologics and specialty medications.

Our Process

PA Request Intake

We receive PA requests through secure, agreed-upon communication channels.

Documentation Review

Required clinical and administrative information is reviewed for completeness.

Submission & Follow-Up

Prior authorizations are submitted through payer-approved pathways with ongoing follow-up as needed.

Status Updates

Determinations and updates are communicated clearly back to your team.

Appeals Support

When required, we assist with appeals and resubmissions.

Workflows are HIPAA-aligned and tailored to each practice’s preferred processes.

Our Story

ClearPath Health Services was founded to help specialty medical practices navigate the growing complexity of prior authorizations. After working closely with providers and payers, we recognized how administrative requirements can delay care and overwhelm clinical teams.

ClearPath is pharmacist-led and designed around real-world clinical and payer workflows. Our approach emphasizes accuracy, compliance, and efficiency while supporting the clinical intent behind each authorization request.

Our goal is simple: to reduce administrative burden for specialty clinics while helping patients access necessary therapies without unnecessary delays. We exist to support—not disrupt—your existing workflow.

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