What goes wrong today
Prior auth calls are long, repetitive, and involve chasing payers and patients across days. They are also invisible to the patient, who only knows their procedure has not been scheduled.
Call Type
Prior Authorization Calls
Administrative back-and-forth that blocks care and frustrates everyone involved. Prior auth calls are long, repetitive, and involve chasing payers and patients across days.
Administrative back-and-forth that blocks care and frustrates everyone involved.
Prior auth calls are long, repetitive, and involve chasing payers and patients across days. They are also invisible to the patient, who only knows their procedure has not been scheduled.
How an AI front desk handles it
The AI captures the request, records payer and procedure detail in a structured format, and keeps the patient informed of status so they stop calling to ask.
- Payer and procedure capture
- Status updates to patients
- Structured record for the auth team
- Escalation when clinical detail is needed
What to measure
Pick the metrics before go-live so the change is visible afterward. These are the ones that move first for this workflow.
- Answer speed and abandonment rate
- First-call resolution for this call type
- Staff hours returned to other work
- Patient-reported access experience
Getting it live
MedReception.ai personalizes this workflow to your practice: your rules, your escalation paths, your EMR. Personalized go-live typically runs 7 to 14 days.
- Map your current handling of this call type
- Define escalation and exception rules
- Connect the EMR handoff
- Test with real scenarios before go-live
Rollout checklist
- Document how this call type is handled today.
- Decide which cases must reach a human immediately.
- Define where the record should land in your EMR.
- Agree the metrics you will judge success on.
- Test with real call scenarios before go-live.
Frequently asked questions
How long does this take to set up?
This workflow is part of a standard MedReception.ai go-live, which typically runs 7 to 14 days including mapping, personalization, and testing.
Can we keep a human in the loop?
Yes. You define which cases escalate and to whom. The AI handles volume; your team keeps the judgment calls.
Does it work with our EMR?
MedReception.ai integrates with the major EMR platforms and can pass structured records into your existing workflow.
Keep going on MedReception.ai
MedFrontDesk.ai is the playbook library. MedReception.ai is the platform that runs it.