Most Denials Are Decided Before The Visit
Benefits verified and prior authorizations secured ahead of the appointment, so the claim you submit was always going to get paid.
eligibility verified ahead of the appointment, not after the denial
prior auth requests chased to a decision, not submitted and forgotten
keeps its focus on patients instead of sitting on payer hold
the same people on your account every month, not a rotating queue
WHAT WE TAKE ON
Eligibility and prior authorization is the cheapest place in the entire revenue cycle to fix a problem. A benefits check that takes minutes prevents a denial that takes weeks to appeal and often never gets appealed at all. Luxen verifies coverage and secures authorizations ahead of the appointment, flags the patients whose plans have changed, and chases every authorization request through to a decision rather than logging it and moving on.
Practices where the front desk is verifying benefits between patients and doing it inconsistently, practices in specialties where prior auth volume is heavy, and practices whose denial reports keep pointing back to coverage and authorization.
READY TO SEE THE NUMBERS?
No commitment. We will tell you honestly whether we are the right fit for your practice.
Book a Billing ReviewThree core capabilities
Benefits and coverage verification
Coverage confirmed ahead of the appointment, with plan changes, deductible status and patient responsibility identified before the patient arrives rather than after the claim is denied.
Prior authorization, requested and chased
Authorization requests submitted with the documentation the payer actually wants, then followed through to a decision. Pending requests are tracked, not filed and forgotten until someone notices the visit already happened. An ambulance company was losing non-emergency transports to missing Physician Certification Statements, which is the same failure one step earlier in the cycle.
Front desk support, not front desk replacement
Your team keeps the patient relationship. We take the payer portals, the hold music and the paperwork, and hand back a clear answer on coverage and patient responsibility before the appointment.
Automated checks, escalated by exception
Routine eligibility checks run automatically against payer systems, which means the straightforward ones are confirmed without a person touching them. What surfaces to our team is the exception: the plan that changed, the coverage that lapsed, the authorization that needs a human on the phone. Your front desk sees a clean answer instead of a task list.
Process We Follow
Common questions, straight answers
How far ahead do you verify?
Far enough ahead that a coverage problem can still be solved before the appointment, which usually means several days out. The exact cadence is set against your scheduling pattern.
Who talks to the patient about coverage?
Your team, unless you want it otherwise. We give your front desk a clear answer on coverage and patient responsibility, and they keep the conversation.
Can we use this without giving you the whole billing function?
Yes. Some practices keep billing in house and use us only on the front end, because that is where their denials are originating.
What happens when an authorization is denied?
We tell you before the visit, with the reason and the appeal or peer to peer route if there is one. A denied authorization you know about is a scheduling decision. One you find out about later is a write-off.
What are other services you offer?
We offer the following services:
Do you work with practices in our state?
Yes. We work with practices across the United States, and payer rules, filing windows and managed care plans differ enough by state to matter. Where we have written up the local picture in detail, you can read it here:
If your state is not on the list yet, we still work there. Tell us your state and payer mix on the call and we will tell you what we already know about it.
Find out how many denials start before the visit
Book a 15 minute billing review. We look at your denial reasons and tell you what share of them trace back to eligibility and authorization, and what fixing that is worth.
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