Kareo + Operations

AI captures insurance queries and prior auth questions, routes to staff—no calls missed, no notes lost

Patient and staff calls about insurance coverage, prior authorizations, and claim status are answered, logged, and delivered as structured summaries to your insurance coordinator or billing team in your Kareo dashboard.

How it pays back

Insurance Calls Always Routed

Patient questions about coverage, billing department inquiries about prior auth, or insurance company callbacks never drop into a black hole. Every call is captured and assigned to the right team member.

Prior Auth Handoff Is Structured

When a patient or provider calls about prior authorization, the AI captures procedure, diagnosis if available, and insurance carrier. Your clinical staff receive a complete handoff, not a whispered transfer.

Billing Team Sees Patient Context

Insurance coordinator receives a call summary with patient name, account number (if provided), and the specific question—no need to listen to voicemail or ask staff for details.

Call History in Kareo

All insurance and prior auth call summaries are linked to the patient record. If a dispute or question arises later, you have a documented log of what was said and promised.

Every insurance call logged

Patient coverage questions, prior auth requests, and claim status inquiries recorded and routed

Structured call summary delivered

Caller intent, insurance carrier, procedure or claim reference, and action items captured for staff

Call linked to patient in Kareo

Insurance call history visible in patient record for billing, prior auth, and audit purposes

No missed handoffs

Insurance coordinator always receives the call with full context; no confusion or re-asks

Frequently asked questions

Can the AI answer basic insurance questions like 'What is my copay?'

The AI can log that a copay question was asked and capture the patient's insurance carrier from Kareo if available. Complex coverage answers are routed to your insurance coordinator with the context pre-filled. Simple factual responses can be configured per your protocol.

What happens when a provider calls asking about prior auth status?

The AI identifies the provider and procedure, captures the request, and immediately routes to your clinical or billing staff with the details visible. No voicemail; immediate handoff with context.

Does the AI write insurance information to the Kareo patient record?

No. The AI captures insurance carrier name, policy reference, and inquiry details on the call and returns them as a structured summary for your insurance coordinator to review and file into the patient's insurance section in Kareo.

Can the AI access real-time prior auth status from insurance companies?

No. The AI captures prior auth questions and inquiry details and routes them to your staff, who use your insurance portal or phone system to check status. The AI reduces call friction and ensures no request is missed.

How long are insurance call records kept?

Insurance call summaries and recordings are retained per your compliance and internal policy. They're stored securely in your MedReception dashboard and linked to the patient record in Kareo.

Related reading

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