Workflow
New patient referrals to an interventional pain clinic often lack complete insurance verification and clinical information. AI receptionist screens calls, verifies insurance coverage, captures pain history and prior treatments, and confirms procedure eligibility so your clinician schedules only appropriate cases.
A referral call comes in: patient reports lower back pain, but upon screening, they've had only 1 week of symptoms with no conservative care. The AI identifies this as inappropriate for immediate intervention, educates the patient on conservative care options, and defers scheduling. Your clinicians avoid no-value consultations.
Insurance verification and prior authorization requirements are captured on the screening call. Your billing team has 24 hours to file the prior auth request before the patient arrives, improving approval odds and reducing appointment-day surprises.
Your team can report back to referring providers about which cases were scheduled, which were deferred, and why. This improves referral quality over time and builds trust with your referrer network.
Patients who are properly screened and educated about expectations have higher show rates. Clinic time is spent on patients likely to receive treatment, not those seeking a second opinion or not yet ready for intervention.
Referral call answered immediately
Patient doesn't wait for a scheduler; screening happens on first contact
Insurance verified before scheduling
Coverage and prior auth requirements known; billing team preps authorization request
Clinical eligibility confirmed
Pain duration, prior treatments, and red flags assessed so only appropriate cases are scheduled
New patient record created with intake
Referral source, pain complaint, medications, and insurance details captured for staff review and filing
Yes. The AI asks about infection, fever, anticoagulation status, progressive neurological loss, and other red flags. Patients with contraindications are flagged for clinician review before scheduling or are educated about conservative care alternatives.
The AI captures the patient's insurance carrier and member ID on the call, then looks up coverage for common interventional procedures (epidural steroid injections, medial branch blocks, etc.). Real-time verification is available for most major carriers; otherwise, details are captured and your billing team verifies and files prior auth.
The AI educates the patient about conservative care options (physical therapy, medication management) and, if appropriate, offers to defer scheduling or refer back to their primary care provider. Your clinician can also review the screening summary and decide whether to schedule anyway.
Patient demographics, appointment details, and referral source are written to your EMR. Pain complaint, prior treatments, medications, and clinical summary are returned as a structured, EMR-pasteable summary for your staff to review, verify, and file—keeping your clinicians in control of the chart.
Related Specialty
AI receptionist for pain management practices
Comprehensive practice workflows for pain management and interventional centers.
Next step
New patient scheduling
How a first-time caller becomes a booked appointment on one call.
Next step
AI receptionist workflows
Step-by-step workflows for the calls a practice actually gets.
See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.
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