Revenue Protection
When patients or providers call requesting prior authorization, MedReception captures insurance information, diagnosis, procedure code, and urgency—and returns a structured summary flagged for your Kareo team to process immediately.
Calls requesting prior authorization are captured, flagged, and queued for your Kareo team. No voicemail, no sticky note, no forgotten request.
Insurance carrier, member ID, diagnosis, procedure code, and urgency are all in the call transcript. Your team can start the auth immediately instead of calling the patient back to clarify.
The AI asks for member ID and date of birth to confirm identity while the patient is on the phone. Incomplete or incorrect information is clarified immediately and returned in the summary for your team to verify.
If a request is time-sensitive (surgery next week, urgent MRI), MedReception flags it red for your staff so it's processed first thing in the morning.
Every prior auth request captured
Insurance, diagnosis, and urgency recorded on first call
No callbacks required for clarification
Information is complete and collected before your team starts
Urgent requests flagged for priority processing
Time-sensitive authorizations don't slip through
Reference to Kareo patient records
Known insurance and diagnosis speed up data collection during the call
MedReception is configured to recognize keywords like 'authorization,' 'approval,' 'pre-approval,' 'cert,' and specific medical procedures. It can also be trained on your practice's common auth requests.
The AI can ask for insurance carrier, member ID, and date of birth to confirm identity. Verification of actual coverage and benefits should be done by your staff when they submit the prior auth, as insurance policies change frequently.
If the patient is in your Kareo system, their insurance is often on file. The AI can reference that information or ask the patient to provide it later via your patient portal or at their appointment. The call is still logged with known information.
Yes. You can configure MedReception to route prior auth and refill requests separately, flagging them for your admin or clinical team. Routine appointment calls go to your scheduler; auth requests go to your authorization specialists.
The call summary is tagged as 'URGENT: Prior Auth' and flagged in your MedReception portal. Your team can set alerts or filters in Kareo to prioritize these flagged messages, or MedReception can send an immediate SMS or email alert to your auth team.
See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.
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