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New Patient Phone Intake: Complete Insurance Verification and Prior Procedure History on the Scheduling Call

New patients calling to schedule an interventional pain procedure often have incomplete intake forms, unknown insurance coverage, or unclear prior procedure history. An AI receptionist captures insurance, prior injections or procedures, allergies, and medications during the booking call—so patients arrive with a complete, EMR-ready summary and pre-authorization can begin immediately.

How it pays back

Insurance coverage verified before the first appointment

By asking insurance questions during the booking call, your team discovers coverage gaps, deductibles, or authorization requirements before the patient is scheduled. If prior auth is needed, your billing team can submit it immediately instead of discovering it after the procedure.

Prior procedures and imaging don't get lost

New patients often forget which joints they've had injected, when, and with what medication. The AI asks where they've had prior interventions, what was injected, and when. This information is documented so your provider can assess whether the patient is a candidate for the same treatment or needs a different approach.

Contrast allergies caught before the imaging order

New patients with prior imaging procedures are asked about allergies to contrast agents. This is captured on the call and included in the summary so imaging orders can note the allergy and your radiologist can use the appropriate protocol.

Clinical team starts the visit with complete data

No time wasted filling out intake forms in the waiting room or reviewing incomplete paperwork. The provider opens the chart and sees insurance verified, prior procedures mapped, allergies listed, and current medications documented. The visit can start immediately.

Insurance verified on the phone

Member ID and coverage tier confirmed before appointment; authorization process begins during the call

Prior procedures captured in one conversation

Procedure type, location, date, and outcome documented so the provider has full history

Chart ready at the time of visit

Demographics and structured summary available before the patient checks in

Named EMR integrations

New patient demographics synced to athenahealth, eClinicalWorks, Epic, Elation, Cerbo, Hint, Tebra, AdvancedMD, ModMed, and more

Frequently asked questions

What insurance information does the AI capture?

Member ID, group number, subscriber name, date of birth, insurance company name, and primary care physician (if required by the plan). The AI verifies this data matches the patient's identity and flags any mismatches so your staff can confirm before the appointment.

How does the AI ask about prior procedures?

The AI asks: 'Have you had any injections or pain procedures before?' If yes, it follows up with location, type of injection (steroid, nerve block, etc.), body part (knee, shoulder, lumbar spine), approximate date, and whether it helped. This gives your provider a chronology of the patient's treatment history.

Does the system flag prior imaging or test results?

The AI asks if the patient has had recent MRI or X-rays related to their pain condition. If yes, it asks where the imaging was done and encourages the patient to bring the CD or request records. This information is documented so your provider knows what imaging exists and can avoid duplication.

Can the AI identify insurance authorization requirements?

Yes. During the intake, the AI asks the insurance company name. Your system can be configured with known prior auth requirements for each major insurer, so if the system recognizes the insurance, it can flag that prior auth is needed and alert your billing team to begin the process.

What happens if the patient doesn't know their insurance details?

The AI asks for the patient's date of birth and can attempt a lookup in your insurance verification system (if integrated). If not found, the patient is asked to provide their insurance card before the appointment. No patient is turned away; intake is completed by the visit date.

Related reading

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New Patient Phone Intake for Interventional Pain: Capture Insurance and Procedure History Before the First Visit | Medreception AI