Workflow
Pain practices spend hours on insurance pre-auth calls. AI reception captures authorization numbers, coverage details, and outstanding requirements so staff can file requests without re-calling patients.
Authorization number, insurance carrier, coverage limits, and patient's authorization status are captured once and documented in full. Staff receives a complete summary.
The AI asks about prior authorization requirements, coverage gaps, and any outstanding documentation. Your staff knows exactly what's needed before they call the insurance company.
By documenting pre-auth details on the intake call, your staff can submit authorization requests immediately. No delay waiting for patient callbacks or repeated information gathering.
The AI captures patient's understanding of coverage, any cost estimates, and pre-auth promises. This creates a clear record if insurance denies later.
Prior auth details captured on first call
Authorization numbers, carrier, coverage, requirements documented
Insurance barriers identified upfront
Outstanding requirements flagged before staff submits request
Structured summary for staff review
All data returned in pasteable format for chart and authorization submission
No patient callbacks for authorization info
All required details collected during intake call
The AI asks specific, structured questions: "Do you have a current prior authorization on file?" "What is your authorization number?" "Has your insurance approved this procedure?" "Are there any outstanding requirements?" The AI documents patient responses and flags gaps for your staff.
The AI captures what the patient knows, flags the uncertainty, and returns a note to your staff: 'Patient unsure of authorization status; staff should verify with insurance.' Your team then calls the carrier with patient details.
All authorization details are captured and returned as a structured summary for your staff to review and file. You can copy and paste into your EHR notes or attach the summary directly.
The AI asks open-ended questions about requirements so it adapts to whatever the patient reports. If an insurance company changes policy, the patient's call will reflect the new requirement, and your staff will see it in the summary.
No, but the AI captures all data your staff needs to submit. Your staff then calls or submits online with complete information, reducing back-and-forth and call time.
Next step
Workflow playbooks
Step-by-step workflows for the calls a practice actually gets.
Operations
Front desk workload
How AI reception reduces staff phone and administrative burden.
Next step
Pain management practices
How call handling differs for pain management practices.
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See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.
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