Workflow
Most interventional procedures need pre-authorization. Capturing insurance and prior auth status during the initial call prevents delays, rescheduling, and patient frustration. MedReception's AI gathers coverage details and flags gaps for your staff.
Instead of discovering a pre-auth gap when the patient arrives, your staff knows about it within minutes of the call. Time to action before the procedure date.
Insurance details are captured in the MedReception portal alongside the appointment. Your front desk and billing staff can verify coverage, submit pre-auth, and communicate with the insurance company with all details at hand.
When pre-auth gaps are caught early, your staff can obtain authorization, contact the patient with clarity, and proceed on schedule. Patients appreciate the proactive communication.
Your billing staff receive a complete intake summary with insurance, prior auth status, and any gaps. No back-and-forth phone calls to retrieve information.
Structured intake
Insurance, prior auth, and imaging orders captured in one call
Portal-based record
Insurance data stored securely in MedReception for staff verification and action
Pre-auth flagged
Insurance requirements and gaps identified immediately, not discovered at the chair
EMR sync
Appointment and patient demographics (name, DOB, phone, address) written to EMR; insurance summary reviewed and filed by staff
No. Insurance details are captured during the call and stored securely in the MedReception portal. Your staff reviews the information, verifies coverage with the insurance company if needed, and then files it in the patient's chart according to your workflow.
The AI asks for insurance company name and member ID from memory. If the patient can't provide either, your staff are prompted to call back or request a photo upload via the patient portal. A callback is scheduled.
MedReception does not perform real-time eligibility checks. Instead, the AI captures insurance details and prior auth questions, and your staff verify coverage using your existing methods (insurance company website, clearinghouse, or phone).
The AI asks whether the patient's insurance company has told them a pre-auth is required, or whether their referring provider mentioned it. This information is flagged in the intake summary for your team to verify with the insurance company.
Insurance and imaging requirements are flagged in the intake summary. Your clinical staff and billing team review these together and communicate with the patient about any out-of-pocket costs before the appointment.
See how MedReception AI handles after-hours calls, scheduling, intake, and patient communication for medical practices like yours.
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