MedFrontDesk Playbook

Insurance Verification Auto-Capture

Collect insurance cards, DOB, and coordination-of-benefits details before a human touches the ticket.

When to run this playbook

Staff chase insurance info for days.

Patients can’t remember plan IDs when asked.

Eligibility checks stall appointment booking.

Caller journey (high-level)

01

Document upload

Katie texts a secure link for front/back card photos and stores them with the call record.

02

Coverage logic

AI asks coordination-of-benefits questions so billing doesn’t rework claims later.

03

Eligibility handoff

Payload feeds eligibility tools or staff queue with everything they need.

Triage categories & actions

CategoryExample callsNotificationTarget callbackCaller messaging
EmergencyChest pain, stroke, trauma.911 / ERImmediateCall 911 or go to the ER now.
Urgent clinicalWorsening postop pain, severe symptoms.On-call provider< 15 minProvider calls back within 15 minutes.
Routine clinicalRefills, mild symptoms, referrals.Daytime teamNext business dayCare team follows up on the next business day.
Non-clinical / adminScheduling, billing, paperwork.Admin queueNext business dayFront desk follows up when the office reopens.