Priorauthorizationandmedicalrecordsprocessing
Outsource prior authorization and medical records processing to Addis Ababa - delivered for AddisMed Clinic and a Florida medical practice.
Zoha Global Solutions processes medical prior authorization requests and digitises clinical records from Addis Ababa. We handled authorization requests for AddisMed Clinic, cutting the delays that were holding up patient care, and digitised patient and administrative records for Sunrise Medical Clinic in Florida.
Why prior authorization is worth outsourcing
Prior authorization is administratively expensive in a way that is almost entirely disconnected from clinical value. Someone has to gather documentation, submit it in the payer’s preferred format, follow up on silence, and resubmit when something is rejected on a technicality. It is exacting, repetitive work with a real clinical cost when it slips - a delayed authorization is a delayed treatment.
It is also close to an ideal candidate for a trained remote team. The rules are documented, the work is queue-shaped, and accuracy matters more than speed. What it needs is people who will not get bored and start guessing, which is a retention problem as much as a training one.
What we handle:
- Authorization request preparation and submission
- Documentation gathering and completeness checks before submission
- Status tracking and payer follow-up on unanswered requests
- Denial triage - identifying what was actually missing and resubmitting correctly
- Patient and administrative records digitisation and structuring
- Reporting on turnaround, approval and denial rates
The engagements behind this
| Client | Work | Outcome as we can describe it |
|---|---|---|
| AddisMed Clinic | Processing authorization requests for healthcare services | Approvals handled efficiently and securely, reducing delays in patient care while maintaining compliance with healthcare guidelines |
| Sunrise Medical Clinic (Florida) | Digitising and organising patient and administrative records | Records structured for easier access and reporting, improving clinic operations |
Deliberately no percentages. We did not instrument these engagements to a standard that would let us publish a figure, and inventing one for a healthcare outcome would be indefensible.
Compliance, stated carefully
We adhere strictly to HIPAA administrative, physical, and technical safeguards under formal Business Associate Agreements (BAAs).
Our operations enforce role-based access control, isolated workspaces, end-to-end encryption, and comprehensive audit logs for all healthcare data processing workflows.
The controls a US healthcare client should require of any offshore provider, us included:
- A signed Business Associate Agreement before any PHI is shared
- Role-based access, with access limited to the minimum necessary for the task
- Named individuals accountable for access, with removal on staff change
- Device and workspace policy - no PHI on personal devices or local storage
- Audit logging of record access, available to you on request
- A documented breach-notification path with defined timeframes
- Training records for every person touching PHI
Questions people ask
Tell us which payers and what volume
With the payer mix, monthly request volume and your current turnaround, we can tell you what a trained team would need to look like and how long ramp-up would realistically take.