Concierge & DPC

Free your concierge team to focus on care coordination, not authorization calls

Concierge members expect fast referrals and seamless prior auth. AI reception logs referral requests, captures specialist details, and alerts your care coordinator immediately—reducing friction and keeping members engaged.

How it pays back

Members get referral answers without waiting for business hours

A member calls Friday night needing a cardiologist. The AI captures the request, your care coordinator is alerted, and the member has confirmation by Saturday morning. That's concierge service.

Reduce care coordinator phone time on routine intake

Your coordinator doesn't spend time on each referral call collecting basic information. The AI does that, and your team focuses on authorization strategy and payer negotiation.

Keep members in the loop on authorization status

Once your team approves the referral or completes the auth, the AI notifies the member automatically. Members feel supported and informed, not abandoned in an authorization queue.

Reduce authorization delays and member complaints

Urgent referral requests are flagged immediately. Your team acts faster. Members experience concierge care, not insurance hassle.

Urgent flags escalated instantly

Your provider or care coordinator notified in real time

Member follow-up automated

Status updates sent once your team completes the authorization

All details logged for coordination

Your team has full context for insurance and specialist communication

Frequently asked questions

Can the AI determine which prior auth is needed?

The AI captures the specialist name, diagnosis, and urgency. Your care coordinator or provider determines if prior auth is needed and which payer rules apply. The AI gathers the information; your team makes the clinical and business decision.

What if the member is calling from a specialist's office asking for urgent auth?

The AI recognizes the urgency, captures the specialist's contact info and clinical indication, and escalates to your provider or care coordinator immediately. Your team can reach out to the specialist or payer within minutes.

How does the AI follow up with the member after authorization?

Once your coordinator marks the authorization as complete in your practice management system, the AI sends the member a personalized message with the status, specialist details, and next steps. No member is left wondering.

Can the AI handle multi-step authorizations (e.g., step therapy)?

The AI captures the initial request and relevant clinical details as a structured summary for your team's review. Your team handles the clinical step therapy assessment and payer negotiation. Once resolved, the AI notifies the member. For complex cases, your coordinator may need to call the member back with specific guidance.

Does the AI store insurance and payer information?

Yes, the AI captures payer name and plan details during the call and returns them as a structured summary for your staff to review and file. It's available for your coordinator to reference during auth calls, speeding up the process.

Related reading

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Prior Authorization and Referral Support for Concierge Practices | Medreception AI