Prior Authorization Services

Prior authorizations handled
by dermatology experts

Your clinical team didn't train to spend hours on hold with insurance companies. Visional handles prior authorizations for biologics, topicals, and specialty medications — from submission to appeal — so your practice can focus on patients.

Submit a PA case → Book a consultation
95%
Average approval rate across our PA cases
<2d
Average turnaround from submission to payer decision
51%
Of specialty medication PAs are initially denied industry-wide — we fight back

Biologics we cover

Every major derm medication,
fully managed

We handle step therapy documentation, payer-specific criteria, and appeals across biologics, topicals, and specialty medications for all major dermatology conditions.

Skyrizi
risankizumab
IL-23i · Psoriasis
Tremfya
guselkumab
IL-23i · Psoriasis
Taltz
ixekizumab
IL-17Ai · Psoriasis
Cosentyx
secukinumab
IL-17Ai · Ps / HS
Dupixent
dupilumab
IL-4Rα · Atopic Derm
Adbry
tralokinumab
IL-13i · Atopic Derm
Olumiant
baricitinib
JAKi · Alopecia Areata
Bimzelx
bimekizumab
IL-17A/Fi · Ps / HS

+ Humira, Litfulo, Ebglyss, Rinvoq, Cibinqo, Ilumya, and all other FDA-approved derm biologics

The process

From submission to approval
in four steps

Our PA-led team handles every step — you just submit the case and we take it from there.

01
Submit the case
Use our online portal or Chrome extension. Takes under 3 minutes. We auto-fill from your EMR where possible.
02
Clinical review
Our PA reviews the case, verifies step therapy documentation, and prepares a complete submission package within 2 business hours.
03
Payer submission
We submit electronically to the payer via CoverMyMeds, FHIR API, or portal — with payer-specific criteria matched for maximum approval odds.
04
Decision & follow-up
We track the decision and notify you immediately. If denied, we initiate the appeal process and schedule peer-to-peer calls on your behalf.

Why Visional

Derm-specific expertise
that generalists can't match

Most PA services are generalists. We're built exclusively for dermatology biologics — which means we know the step therapy requirements, payer quirks, and clinical criteria that get cases approved.

🩺
PA-led clinical review
Every case is reviewed by a PA with hands-on dermatology experience — not an offshore data entry team.
⚡
2-hour review turnaround
Cases are reviewed and submitted the same business day they're received. No backlogs, no missed deadlines.
📋
Full appeals management
Denial isn't the end. We handle the full appeal lifecycle including peer-to-peer scheduling and letter writing.
🔗
Works with any EMR
Our Chrome extension works alongside Epic, Athena, Modernizing Medicine, Nextech, and any web-based EMR.
"Your team didn't train to spend hours on hold.
We did."
35+
Average PA requests per physician per month in dermatology
31 days
Average time to complete a biologic PA without dedicated support
73%
Growth in PA volume in dermatology between 2016–2022

Ready to get started?

Submit your first case today — free consultation included

New practices get a free onboarding consultation with our PA team. We'll review your current PA workflow, identify quick wins, and get your first cases submitted within 24 hours.

Submit a PA case → Book a free consultation