Every referral classified the moment it arrives.
Urgent, surgical, diagnostic, and elective referrals are classified automatically. Gaps in documentation are flagged and returned to the referring provider before anything enters the queue.
Acute cases such as retinal detachment and sudden vision loss are separated from diagnostic workups and elective referrals automatically at intake.
Missing documentation triggers an automatic fax-back to the referring provider, specifying exactly what is needed before the referral can be accepted.
Submitted same-day. Tracked automatically.
Authorization requirements identified by payer and procedure code at intake. Requests populated and submitted same-day. Denied auths flagged with supporting documentation staged for appeal.
Authorization requirements identified by payer and procedure code at intake. Requests populated and submitted same-day for qualifying procedures.
Denied authorizations are flagged with supporting documentation ready for appeal, without staff having to rebuild the case from scratch.
Every patient verified before a slot is offered.
Benefit pathway determination runs automatically based on diagnosis. Payer-specific documentation requirements enforced before any slot is offered. Out-of-network cases excluded early.
Vision vs. medical benefit determination runs automatically based on diagnosis. Payer-specific documentation requirements enforced before any slot is offered.
Out-of-network and ineligible referrals excluded before entering the scheduling queue.
Booked and confirmed. No coordinator required.
After eligibility clears, the agent contacts the patient, schedules the appointment, confirms transportation, and sends procedure-specific pre-visit instructions, all in one call.
After eligibility clears, the agent contacts the patient, schedules the appointment, confirms transportation, and sends procedure-specific pre-visit instructions. Every interaction logged directly to the EHR.
Charts built. Documents filed. Ready for approval.
Patient records populated from the referral. Imaging reports, diagnostic records, and insurance documents sorted and uploaded automatically. Staff approve before finalization.
Patient records populated from the referral. Imaging reports, diagnostic records, and insurance documents sorted and uploaded automatically.
Staff approve each chart before it is finalized. Oversight without data entry.