Operations
Interventional pain procedures often require prior authorization. When insurance verification happens after booking, patients don't show up and slots go empty. An AI receptionist screens coverage and auth status during the call, flags issues early, and reduces downstream delays and no-shows.
Patients tell the AI their insurance and referral status during booking. If authorization is pending or missing, they know upfront. This reduces the shock of cancellation after your staff reviews coverage later, and patients can arrange alternatives before the appointment date.
Insurance details and pending auth flags are captured and returned to your team immediately. Your staff can begin verification and outreach the same day, not three days after the appointment is booked. This eliminates last-minute surprises.
Patients who understand that authorization is needed and in progress are more likely to follow through. Those told upfront that auth is still pending can arrange payment or defer the appointment rather than no-show.
The AI notes whether a referral is in hand during the call. If missing, your staff can request it from the primary care provider before the appointment, ensuring the patient is cleared for the intervention.
Insurance verified on every booking call
Coverage and pending auth flagged during intake, not after appointment confirmation
Prior authorization status captured instantly
Your team receives pending auth alerts on the same day, not in post-booking review
Referral requirements confirmed upfront
Missing referrals are identified during booking so your staff can request them immediately
Appointment details available to your authorization workflow
Insurance and auth info returned as structured notes for your verification team to review and file
The AI asks for the patient's primary insurance carrier, policy number, and group number. It also asks whether the patient knows if prior authorization is required for the procedure and whether it has been submitted.
The AI captures the patient's name and contact information and notes that insurance details are missing. Your staff follows up before the appointment to collect and verify coverage. The booking still proceeds.
The AI asks about primary and secondary insurance and captures both. This information is returned to your team so your billing staff can coordinate coverage correctly.
No. The AI captures whether authorization is pending and returns that information to your team. Your authorization staff make the calls to insurance companies. The AI accelerates the information flow so your team can start authorization work the same day.
The AI does not receive denial notifications. Your authorization team handles insurance denials. If a denial occurs before the appointment, your staff contacts the patient and discusses payment, appeals, or deferral options.
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