CASE MANAGEMENT & AUTHORIZATIONS
Speed Up Admissions. Secure More Skilled Days. Get Covered. Fast
Claimex can secure prior authorizations in under 15 minutes, even on weekends. From benefits checks to skilled day extensions and appeals, we make sure patients get approved — and you get paid. Faster admissions, more skilled days, and smoother coordination across your team.
Case Management & Authorizations
When approvals are slow, admissions stall — and revenue follows. We move fast to secure most prior authorizations in under 15 minutes (including weekends), so your team can admit sooner and avoid preventable delays.
From eligibility checks to appeals and peer-to-peer reviews, our case management process keeps coverage and documentation aligned — so what gets approved is what gets billed
What We Do
Denied, delayed, or underpaid claims
Prior authorizations (auths) secured in ~15 minutes
Skilled stays: start with 12 days, extend to 22+ with appeals
Appeals & peer-to-peer review coordination (90% success rate)
Part B + custodial auth support tied to billing
Clinical documentation for highest level of care approval
7-day/week hospital referral support
Book a Free Strategy Call
Tell us what’s slowing approvals — we’ll route you to the right case management expert.
WHY CHOOSE CLAIMEX?
Advantages for Your Facility
15-Minute Turnaround Time for Auths
22+ Skilled Days per Stay (Avg.)
90% Success on Appeals
80% Faster Admission Response Time
Fully Coordinated with Billing + Claims
WHY CHOOSE CLAIMEX?
What Makes Us Different
Our case management team feeds directly into Claims to ensure approvals match what’s billed and works with the Contracting team to keep coverage, eligibility, and payer compliance aligned.
80% Claim Recovery Rate
90% Appeal Success Rate
Hospital Referrals Responded to 80% Faster
60% contract negotiation success
