Healthcare · Billing

Insurance Pre-Auth & Claim Chase

Clear the pre-auths and claims that stall between the clinic and the payer.

Apps this needs

EHR / Practice System Read availability and write appointments back to your clinic system. Connect during setup
Payments / Checkout Send secure pay links and reconcile paid / overdue balances. Connect during setup
SIP Trunk Route inbound & outbound calls through your phone system. Connect during setup

How it works

  1. Agent picks up pre-auths and claims open past the window.
  2. Chases the payer or the patient for whatever is missing.
  3. Collects and validates the documents or codes the payer asked for.
  4. Re-submits and tracks the response, keeping the clinic updated.
  5. Escalates a denial or a clinical query to your billing team — it never argues clinical necessity.

Data sources

Claim & pre-auth status Payer requirements Patient records (admin)

What it targets

  • Open claims chased Target 98%
  • Claims cleared without staff Target 46%
  • Denials escalated Target 100%