eClinicalWorks Workflow

Confirm existing insurance during call by retrieving patient record from eClinicalWorks

When a returning patient calls, the AI retrieves their eClinicalWorks record to confirm the insurance on file. If the patient reports a change, new insurance information is captured and returned as a structured summary for your staff to verify and update before the appointment is booked.

How it pays back

Insurance Confirmed, Not Assumed

Your AI receptionist reads back the insurance on file to the patient, confirming it's still current. If it's changed, the new information is captured immediately as a structured summary for your staff to review and update in eClinicalWorks.

Fewer Claim Denials from Stale Data

By verifying insurance during the call, you catch policy changes, plan switches, or coverage gaps before the appointment happens, reducing claims submitted with outdated insurance information.

Streamlined Follow-Up

Your staff doesn't need to make a separate eligibility call if the patient confirms insurance is current or provides an update during the appointment booking call.

Insurance retrieved from eClinicalWorks

Patient confirms current coverage or reports changes

Updated insurance captured

Structured summary for staff verification

Appointment booked with confirmed coverage

Reduced risk of claim denial from outdated insurance

No separate eligibility call needed

Insurance verification integrated into appointment booking call

Frequently asked questions

How does the AI know what insurance is on file in eClinicalWorks?

The AI retrieves the patient's full eClinicalWorks record during the call, which includes demographics, appointment history, and the insurance information currently in the chart.

What if the insurance on file is outdated?

The patient can provide updated insurance information during the call. The AI captures the new details and returns them as a structured summary to your staff for verification and update in eClinicalWorks.

Does the AI automatically update insurance in eClinicalWorks?

No. New or updated insurance information is provided as a structured summary for your staff to review. Your team verifies and updates the eClinicalWorks record according to your policy.

What if the patient doesn't confirm the insurance on file?

If the patient disputes the insurance information in eClinicalWorks, the AI captures what the patient reports, and your staff can follow up with verification and make corrections to the chart.

Related reading

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