Workflow
Pain practice staff spend hours chasing insurance details and prior auth paperwork. Our AI captures insurance info, group number, and medical history on the call and returns a structured summary for your team to process immediately.
Your staff receives the insurance summary on the call. They can begin authorization work immediately, often before the patient hangs up. No second phone call to dig for policy numbers.
The AI captures medical history, procedure details, and clinical indication during intake. Your staff receives a structured summary with everything needed to submit the auth request the same day—not days later after chasing the patient.
Coverage gaps and auth denials are caught before the patient arrives for their procedure. Your team has time to call the patient, get additional info, or pursue appeals before the scheduled appointment.
Your team spends less time on callbacks to collect insurance details. The AI does the data collection; staff focuses on verification and submission.
Insurance captured on first call
No callback required for policy or group number
Prior auth flags set automatically
Procedures requiring authorization flagged for staff in the summary
Structured summary for submission
Staff-ready details enable faster carrier outreach and approval
HIPAA-compliant data handling
All insurance and medical information encrypted and securely logged
No. The AI collects insurance card details and group/member information on the call. Your staff uses this summary to verify coverage directly with the carrier, which is faster and more accurate than real-time lookups.
The AI asks about prior procedures, current medications, allergies, and the reason for the visit. It captures this on the call and returns it as a structured summary for your staff to review and file in the chart.
You configure the AI with your procedure list and associated authorization requirements. For each procedure booked, the AI notes in the appointment whether pre-auth is needed, so your staff knows to prioritize that case.
No. The AI captures all required details on the call. Your staff uses the structured summary to submit requests to carriers through your normal authorization channels. Some pain practices use clearinghouses or outside services to automate submission.
The AI asks for employer name and any insurance info they recall. Your staff receives this partial information and can often look up coverage in the carrier system or call the patient back with a specific request for card details.
See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.
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