Authorisations
Determining whether an authorisation is required, assembling the documentation, submitting it, and tracking it to a decision.
Determining whether an authorisation is required, assembling the documentation, submitting it, and tracking it to a decision.
Prior auth is long, repetitive and invisible to the patient, who only knows their procedure has not been scheduled. It is frequently a full role in a mid-sized practice, and the work is almost entirely rules plus document assembly — which is what makes it automatable in principle.
Prior auth is long, repetitive and invisible to the patient, who only knows their procedure has not been scheduled. It is frequently a full role in a mid-sized practice, and the work is almost entirely rules plus document assembly — which is what makes it automatable in principle.
Requirement checks per payer and procedure, documentation gathered from the chart, submission tracked to a decision, and denials queued for a human with the reason attached.
Pick these before you change anything, so the effect is visible rather than anecdotal.
In development, and the most-requested thing we do not yet ship.
In development, and the most-requested thing we do not yet ship.
The Front Desk Opportunity Scan estimates the hours and revenue behind each area from your own volumes and ranks them against each other.
MedFrontDesk.ai is the playbook library. MedReception.ai is the platform that runs it.
