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.
95%
Average approval rate across our PA cases
<2d
Average turnaround from submission to decision
51%
Of specialty medication PAs are initially denied — we fight back
Medications 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-rzaa
IL-23i · PsoriasisTremfya
guselkumab
IL-23i · PsoriasisTaltz
ixekizumab
IL-17Ai · PsoriasisCosentyx
secukinumab
IL-17Ai · Ps / HSDupixent
dupilumab
IL-4Rα · EczemaAdbry
tralokinumab-ldrm
IL-13i · EczemaNemluvio
nemolizumab-ilto
IL-31Rαi · EczemaBimzelx
bimekizumab
IL-17A/Fi · Ps / HS
The process
From submission to approval in four steps
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 via CoverMyMeds, FHIR API, or payer 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 — which means we know the step therapy requirements, payer quirks, and clinical criteria that get cases approved.
PA-led clinical review
Every case reviewed by a licensed PA with hands-on dermatology experience — not an offshore data entry team.
2-hour review turnaround
Cases reviewed and submitted same business day. 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 and get your first cases submitted within 24 hours.