eClinicalWorks Workflow

Match incoming calls to eClinicalWorks patient records and capture insurance updates

When a returning patient calls, the AI receptionist identifies them in eClinicalWorks, retrieves their record during the conversation, and captures any insurance changes for staff review before appointment confirmation.

How it pays back

One Lookup, Complete Picture

The AI retrieves the patient's full eClinicalWorks record during the call, so you and the patient both know what's already on file and what's new or changed.

Insurance Updates Flagged Immediately

If a patient reports a new insurance plan, that information is captured and structured as a summary for your staff to review, verify, and file before the appointment.

Faster Repeat Calls

No need to re-collect basic information; the AI already has it. The conversation focuses on current needs and appointment scheduling, saving time for both caller and staff.

Returning patient matched instantly

eClinicalWorks lookup reduces re-entry of known demographics

Insurance changes captured

Structured summary for staff verification before filing

Appointment syncs to chart

Appointment details and updated demographics transferred to eClinicalWorks

Staff alerted to updates

Insurance or demographic changes flagged for review

Frequently asked questions

How does the AI know if a caller is an existing patient?

The AI uses information the caller provides—phone number, date of birth, or name—to query eClinicalWorks during the call. If a match is found, the patient's existing record is retrieved and used to confirm identity and retrieve known information.

What happens if a patient's insurance information is out of date in eClinicalWorks?

If the patient provides updated insurance information during the call, the AI captures it and returns it as a structured summary. Your staff verifies the new information and updates the eClinicalWorks record accordingly.

Does the AI automatically update insurance in eClinicalWorks?

No. Insurance information is captured on the call and provided as a structured summary for your staff. Your team reviews the information, verifies it with your insurance verification process, and then updates eClinicalWorks manually or via your existing workflow.

Can the AI handle patients with incomplete records in eClinicalWorks?

Yes. If the patient is found but missing information, the AI will capture what the patient provides during the call and return it as a structured summary for your staff to complete the record.

Related reading

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