Concierge & DPC
Prior auth calls can derail your schedule. An AI receptionist captures authorization requests, identifies the insurance carrier and procedure code, and routes the call to your PA coordinator—freeing clinical staff for member care.
Time-sensitive prior auth requests (pre-op authorizations, urgent imaging) are routed immediately to your PA coordinator rather than queuing in voicemail or waiting for call-back.
Insurance carrier, member ID, procedure, and request timeline are captured during the call. Your coordinator has full context before picking up the phone to the insurance company.
Your clinician doesn't field prior auth calls. The AI routes these administrative requests to the appropriate staff, protecting clinical time for member care.
All PA requests are logged in your EHR with status updates, so nothing slips through during the authorization period.
Prior auth calls routed
Directed immediately to PA coordinator without queuing
Insurance details captured
Carrier, member ID, procedure, and urgency extracted from caller
Request logged and tracked
Full audit trail in your EHR from call to approval
Coordinator efficiency improved
Full context available before insurance company callback
The AI asks the caller for the procedure name or type (e.g., MRI, injection, surgery). Based on the procedure and member's insurance, the AI can apply your practice's prior auth rules to route appropriately.
Yes. The AI captures insurance carrier, member ID, and group number. This information is returned as a structured summary for your PA coordinator to use when contacting the insurance company. Insurance details are captured on the call and returned in a structured summary for your staff to review and file.
The AI identifies urgency flags (pre-op within 48 hours, symptom severity) and escalates the call immediately to your PA coordinator or clinical staff. Urgent requests are not queued.
Yes. You can configure the AI to send follow-up notifications to members once authorization is approved or if additional information is needed from the member.
Workflow
Call routing and triage
Calls routed by urgency and type to appropriate staff
Hub
Front desk workload
Administrative calls handled by AI, freeing staff for care coordination
Specialty
AI receptionist for concierge and dpc practices
Concierge-specific call routing and workflows
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See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.
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