Workflow
Capture insurance and procedure codes during booking calls, return data for staff verification, and flag prior auth blockers before patients arrive—eliminating denials and rework.
Interventional procedures require pre-authorization from most payers. AI intake captures insurance details during booking, your staff verifies coverage and submits prior auth while the patient confirms their appointment—not on arrival. Surprise denials and same-day cancellations drop dramatically.
Your front desk currently verifies insurance at check-in, wasting chair time when there's a problem. AI captures this during booking, giving your staff days to research and resolve issues. Patients arrive ready, not delayed.
Prior auth delays are top revenue friction. Insurance summaries from intake calls arrive in your staff's queue ready to verify and submit—no back-and-forth with patients, no missing fields. Your team submits faster and tracks approvals before the patient's appointment date.
Patients with secondary insurance or recent employer changes are flagged during intake, giving your billing team time to investigate and confirm coverage. Complex cases surface days before the appointment, not at the desk.
Insurance captured on first call
Carrier, member ID, group number, and procedure code documented before booking
Prior auth blockers identified
Common requirements and red flags flagged for staff review
Structured summary delivered
Insurance details ready for staff to verify and submit pre-authorization
Verified demographics synced
Name, DOB, phone synced to EMR; reduced check-in friction
No. The AI captures insurance information during the call and returns it as a structured summary. Your billing staff uses that data to run eligibility checks and submit prior auth requests. The AI accelerates the workflow but your team retains verification authority.
The AI captures what the patient knows (carrier name, member ID if available) and flags the record for your staff to call back or request the patient email their card before the appointment. No information is lost.
Yes. You configure procedure codes and payer requirements during setup. For common pain management procedures, the AI prompts for relevant details (like imaging confirmation or conservative treatment history) and flags known prior auth requirements so your staff prioritizes submission.
Yes. Verified patient demographics (name, DOB, phone) sync to your EMR. Insurance details are captured and returned to your staff as a structured summary for your team to verify, control, and file.
Patients often cancel interventional procedures when they learn coverage is denied or cost is high. By capturing insurance and flagging prior auth needs during the intake call window, your staff can verify coverage and submit authorization before the appointment is finalized. Fewer surprise cancellations.
See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.
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