Dermatology

From referral to appointment,
without the paperwork.

Dermatology practices handle urgent lesion workups, MOHS surgical pre-ops, and routine care, each with different documentation, authorization, and scheduling requirements. TriFetch automates the entire path from referral to confirmed appointment.

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01 Referral Intake

Every referral classified the moment it arrives.

Suspicious lesion workups are separated from MOHS surgical pre-ops and routine referrals at intake. Cosmetic cases are filtered out before any staff sees them. Incomplete referrals are returned to the referring provider automatically.

Urgency classification

Acute cases such as melanoma workups and suspicious lesions are separated from MOHS pre-ops, diagnostic referrals, and routine care at the moment of intake.

Cosmetic cases filtered

Cosmetic procedure requests are identified and filtered at intake before entering the medical referral queue. Incomplete referrals trigger an automatic fax-back to the referring provider.

Referral Intake Queue Auto-classified
UrgentSuspicious lesion, melanoma workup
Surgical pre-opMOHS surgery, auth required
DiagnosticPsoriasis, new patient
CosmeticFiltered at intake
Cosmetic cases filtered before staff sees them
Prior Authorization Tracker Same-day submission
Aetna
MOHS surgery (CPT 17311)
Approved
UnitedHealth
Phototherapy (CPT 96910)
Submitted
Cigna
Wide excision (CPT 11604)
Denied → Appeal filed
Denial docs staged automatically
02 Prior Authorization

Submitted same-day. Tracked automatically.

MOHS surgery, phototherapy, and excision procedures require payer authorization that varies by procedure code and carrier. TriFetch identifies the requirement, populates the request, and submits it without staff involvement.

Procedure-specific identification

Authorization requirements identified by payer and CPT code at intake. Requests populated from the referral and submitted same-day for MOHS, excisions, phototherapy, and other qualifying procedures.

Denial management

Denied authorizations are flagged with supporting documentation staged for appeal. Staff do not need to rebuild the case from scratch.

03 Eligibility

Every patient verified before a slot is offered.

Dermatology eligibility requires determining whether a procedure falls under medical or cosmetic benefit before a slot is offered. TriFetch applies the correct pathway automatically based on diagnosis and procedure code.

Medical vs cosmetic routing

Benefit pathway determined automatically based on diagnosis and procedure code. Payer-specific documentation requirements enforced before any slot is offered.

Out-of-network filtered

Ineligible and out-of-network referrals excluded before entering the scheduling queue, preventing billing surprises downstream.

Benefit Pathway Check
✓ Medical benefitActive, in-network
✓ Derm-specific coverageConfirmed
✗ Cosmetic proceduresExcluded
✓ Deductible statusMet for the year
Medical vs cosmetic pathway applied automatically
AI Phone Agent · Outreach call Live
LindaHi, this is calling from Valley Dermatology to schedule your appointment.
Yes, my doctor referred me for a skin check.
Your insurance is verified. I have availability at our Danville location on Thursday at 11 AM. Does that work?
Thursday works for me.
Confirmed. You will receive pre-visit instructions by text shortly.
04 Patient Scheduling

Booked and confirmed. No coordinator required.

After eligibility clears, the agent contacts the patient, schedules the appointment at the correct location, and sends procedure-specific pre-visit instructions, all in one call.

AI phone outreach

After eligibility clears, the agent contacts the patient, confirms the appointment slot, and sends pre-visit instructions specific to the procedure type. Every interaction logged directly to the EHR.

05 EHR Integration

Charts built. Documents filed. Ready for approval.

Patient records created from referral intake data. Pathology notes, imaging records, and insurance documents sorted and uploaded automatically. Staff approve at a single checkpoint before finalization.

Automated chart creation

Patient demographics, referring provider, and all supporting documents uploaded and categorized automatically. Pathology records sorted into the correct chart sections.

Human in loop

Staff approve each chart before it is finalized. Oversight without data entry.

Chart Build · Auto-populated
✓ Patient demographics
✓ Referring provider linked
✓ Referral notes uploaded
✓ Pathology records sorted
✓ Insurance docs filed
→ Awaiting staff approval
Ready to get started?

See how TriFetch works for your dermatology practice.

Book a Demo → Call Linda · (240) 981-5499