Oncology and infusion
Prior authorization support for oncology and infusion practices
Office-administered therapies, imaging, and site-of-care requirements, prepared, submitted, tracked, and followed up inside your systems by named, U.S.-based specialists. Your clinicians keep every treatment decision.
What lands on our desk
- Office-administered therapies billed under the medical benefit, including chemotherapy, immunotherapy, supportive-care infusions, immune globulin, and biologic infusions for rheumatology and gastroenterology
- Advanced imaging orders, including PET and CT
- Site-of-care and continuation-of-therapy requirements that payers attach to infusion authorizations
- Requests for additional information on any of the above, answered from documentation already in the record
Pharmacy-benefit authorizations, including specialty-pharmacy dispensing, are outside Ellery Health Partners's current scope.
Administrative demands in oncology and infusion
Infusion and oncology authorization workflows can involve extensive clinical documentation, payer requirements, treatment-specific criteria, and ongoing status follow-up. Drug, dose, frequency, diagnosis, line of therapy, prior treatments, and the site where the therapy is given are each checked against a payer policy that changes. Many practices already use an authorization platform for buy-and-bill drugs. Ellery Health Partners works alongside the tools your practice already uses and takes the cases that still need documentation coordination, payer contact, and follow-up before a chair can be scheduled.
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
Treatment 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.