Authorization requirements can vary by payer, plan, service, and level of care.
Prior authorizations can quietly become one of the biggest bottlenecks in a behavioral health practice. One missing form, one unclear requirement, or one payer-specific rule can delay care and put claims at risk.
SOSA helps practices track what is needed before services begin or continue, including requirements tied to diagnosis, session count, medical necessity guidelines, or continued care review.
Support for common behavioral health authorization scenarios.
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Individual therapy
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Family therapy
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Group therapy
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Psychological testing
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Medication management
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Higher levels of care when applicable
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Extended sessions
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Continued care reviews
A structured process from requirement review to payer follow-up.
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Reviewing payer authorization rules
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Confirming whether authorization is required
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Collecting required clinical or administrative details
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Submitting authorization requests through approved payer channels when appropriate
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Tracking pending requests
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Following up with payers
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Updating authorization details in EHR and payer records
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Communicating status updates back to your team
Authorization information documented where your team can use it.
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Authorization number
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Approved service dates
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Approved CPT codes or service types
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Number of approved visits or units
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Expiration date
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Payer reference number
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Medical necessity notes or documentation requirements
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Follow-up or renewal timelines
Prior authorization approval does not promise payment. Final payment is determined by the payer after the claim is processed.
How SOSA keeps authorizations visible.
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Identify requirements
We review payer, plan, service type, diagnosis, session count, and level-of-care rules that may affect authorization.
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Gather details
Clinical and administrative information is collected so requests can be submitted through the appropriate payer channel.
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Track and follow up
Pending requests are monitored, payer updates are followed, and status is communicated back to your team.
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Document for billing
Approved authorization details, expirations, and renewal timelines are organized where your billing workflow can use them.
Next step
Stay ahead of payer requirements before they become billing problems.
Let SOSA support your behavioral health practice with structured prior authorization tracking, payer follow-up, and EHR visibility.