Workflow
Interventional pain patients call about prior authorization, medication refills, and insurance coverage. MedReception captures these calls, records patient concerns and insurance details, and returns a structured summary your staff reviews and processes.
When a patient calls about insurance coverage for an upcoming injection or nerve block, the AI captures their insurance info, procedure details, and the authorization question. Your staff processes it with full context, not via callback.
Pain patients on opioid or non-opioid management call for refills. The AI captures drug name, dosage, pharmacy, and last fill date — your clinical team acts on it without a second call.
The AI asks about insurance carrier, member ID, and deductible status. Routine questions ('Is my deductible met?', 'What's my copay?') are answered from plan data or flagged for your billing team.
Your team no longer makes return calls to clarify insurance or refill details — all context is in the structured summary.
Insurance details captured on first call
Carrier, member ID, group number, and prior auth request documented automatically
Medication refill requests logged
Drug name, dosage, pharmacy, and last fill date captured for your clinical team
Structured summaries for staff review
No callback needed; prior auth and refill details ready for action in your inbox
Linked to patient chart
Call context visible alongside your EMR so clinicians understand the insurance or medication question
The AI can answer routine questions like 'What's my copay?' or 'Is my deductible met?' if that information is in your system or if your insurance vendor provides real-time verification. For complex or plan-specific questions, the AI captures the question and hands it to your staff.
The AI captures the prior auth request and procedure details on the call. Your clinical or administrative staff review the structured summary and submit the prior auth through your EMR or insurance portal.
The AI is designed for patient-initiated calls. Pharmacy refill requests are typically routed to your clinical staff directly. However, if a patient calls to request a refill, the AI captures it and logs it for your clinician to approve or deny.
Insurance carrier name, member ID, group number, prior auth request details (procedure name, date, reason), medication refill details (drug, dosage, pharmacy), and any insurance questions the patient asked.
Appointment bookings and patient demographics (name, DOB, phone) sync to your EMR automatically. Prior auth and refill call summaries are returned as structured, EMR-pasteable summaries available in your MedReception portal for your team to review and file in the patient record.
Next step
Workflow playbooks
Step-by-step workflows for the calls a practice actually gets.
Next step
Taking load off the front desk
Where front-desk time actually goes.
Next step
Pain management practices
How call handling differs for pain management practices.
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Prior Authorization Routing for Interventional Pain Clinics
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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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