Workflow
Migraine treatments—Botox, CGRP inhibitors, infusions—require frequent prior auth calls. An AI receptionist screens calls, captures insurance details, and routes authorization updates to your clinical team.
Inbound calls from insurance companies with auth updates, denials, or requests for additional info are captured, triaged, and routed to the right person—not buried in voicemail.
The AI captures auth request ID, insurance company name, decision, and denial reason (if applicable). Staff review and file this summary; your clinical team knows instantly what needs an appeal.
Instead of staff calling insurance repeatedly to check status, the AI logs inbound updates and flags delays so your team can focus on patient care and appeals.
Urgent denials or missing auth information trigger immediate notification, so your team can respond before the patient's appointment window closes.
Insurance calls answered
No missed authorization updates from insurers during business hours
Auth details structured
Insurance company, auth ID, decision, denial reason captured for instant staff review
HIPAA-compliant capture
All insurance and patient details encrypted and stored securely
Denial escalation
Urgent denials routed to clinical team for real-time appeal planning
The AI captures the caller's identity (patient or insurance rep), insurance company name, auth request ID (if available), the treatment being authorized, and the decision (approved, denied, pending more info). This is returned as a structured summary for your staff to verify and file.
Yes. The AI asks about the authorization decision and any denial reason. If denied, the call is flagged and routed to your clinical team immediately so they can start the appeal process.
No. Insurance information is captured on the call and returned as a structured summary for your staff to review and file. Your team then manually enters auth details into your EMR or insurance tracker as needed.
Staff no longer need to spend time calling insurance companies to check status—the AI logs inbound updates. Your team focuses on high-priority appeals and urgent cases, not call queues.
See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.
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