Dermatology
Prior authorization support for dermatology practices
Medical-benefit authorizations for dermatology procedures and office-administered therapies, handled inside your EHR by named, U.S.-based specialists, with every clinical decision staying in your practice.
What lands on our desk
- Mohs micrographic surgery and surgical excisions that require authorization
- Phototherapy courses
- Laser and light treatments for medical indications
- Office-administered biologic and infusion therapies billed under the medical benefit
- Requests for additional information on any of the above, answered from documentation already in the record
Retail and specialty-pharmacy biologics are pharmacy-benefit authorizations and are outside Ellery Health Partners's current scope.
Administrative demands in dermatology
Dermatology authorizations turn on documentation: photographs, lesion measurements, pathology reports, prior treatment history, and the specific medical indication the payer's policy names. Procedure and office-administered therapy requests recur at volume, each with its own payer requirements and, where applicable, verification of coverage before treatment. Assembling and following up on those requests competes with the practice's other administrative responsibilities. A defined workflow that knows which payer requires which document, submits once, and follows up on time gives that work a dedicated owner.
How a case runs here
Ellery Health Partners locates and organizes the documentation the payer's published criteria require, flags anything missing to your coordinator, submits through the channel your practice approves, monitors status, completes up to two routine payer follow-up contacts, coordinates routine additional-information requests from the record, and records every action, reference number, and outcome in your system. If a request is denied, Ellery Health Partners records and summarizes the payer's stated reason, the deadline, and the directed next step. Written appeal preparation is scoped and priced separately.
What stays with your practice
Clinical decisions, medical necessity, diagnosis and procedure code selection, peer-to-peer reviews, provider signatures and attestations, and clinical answers to payer questions remain with your clinicians. When a payer asks a clinical question, Ellery Health Partners documents it and routes it to the contact you designate.
Get started with Ellery Health Partners
Tell us about your practice, your approximate monthly volume, and the support you need. We review your workflow, confirm the scope, and send the agreement and onboarding documents. No patient information is requested or accepted.