Central for Orthopedics
Six weeks of documented care before MRI approval.
Advanced imaging through the radiology benefit manager. Surgical auths that need the clinical attached. DME that needs its own approval after the surgery is already booked. Central works all three, in the portals your staff already log into.
Your data stays yours. Encrypted in transit & at rest, no training on your data.
YOUR WEEK
We already know where your week goes.
Three things every orthopedics practice we speak to describes, usually in the first ten minutes.
The imaging gate
eviCore and Carelon want six weeks of documented conservative care before a 73721 goes through. The note exists. Somebody still has to find it, attach it, and submit it.
AI AGENT
The second auth nobody planned for
The surgery is approved. The knee brace, the CPM, the bone stimulator are a separate authorisation, on a separate form, often to a separate DME benefit.
AI AGENT
Peer-to-peer roulette
A denial comes back and the only route is a peer-to-peer inside 72 hours. Your surgeon is in theatre. The window closes.
AI AGENT
HOW WE WORK IT
The whole chain, not the first link.
Every step says whether an agent or one of our specialists did it. Nothing clinical or contentious is left to software.
A day on the desk.
What 24/7 actually looks like. Illustrative, based on the volumes practices tell us they run.
6:00 AM
Tomorrow is already verified
Every appointment on the next day's schedule has been checked overnight. Clean patients pass silently
8:40 PM
A late add-on appears
A same-day booking lands. It is verified within the hour, not at check-in.
1:10 PM
A portal goes quiet
UnitedHealthcare returns nothing useful, so the agent calls instead and works the phone tree.
4:25 AM
A lapse is found
A Humana plan shows terminated. A specialist calls the patient before tomorrow rather than after.
11:00 PM
The next day runs
The cycle repeats for the following day's schedule while the practice is closed.
The agent does one half. Our people do the other.
You are not buying software with gaps in it. You are buying the outcome, and both halves are included.
Re-verifies when a plan changes mid-cycle
Re-verifies when a plan changes mid-cycle
Re-verifies when a plan changes mid-cycle
Everything that needs judgment.
Flags patients who need a financial conversation
Flags patients who need a financial conversation
