We want to maximize your benefits bystretch ing the dollars available from Medicare. Therefore we try to make sure that you will receive your services from providers that we know and trust to give quality care and service and not overcharge.

• We try to match the right provider to the right service. You wouldn’t want the orthopedic doctor performing your back surgery to be a hand specialist.
• If you will need ongoing referral care we can track, anticipate and approve future services.

      Inter Valley works with a number of physician groups. Each group’s authorization process has some differences in the detail but overall they are very similar.

        Some services may not require any authorization. For example, most blood tests don’t require any thing except the doctor’s order for the test.

        Other services may be automatically approved. Your doctor needs to submit a request but receives approval before you leave the office. The process that comes to mind for many people is when the authorization needs to be reviewed prior to approval. Your doctor sends your clinical information to your doctor’s medical group where it is reviewed by knowledge able medical personnel. Over 90% of requests are approved. Only a physician can deny a request for authorization. The authorization decision is shared with the your doctor, you and the medical personnel who will be providing authorized services.