Central for ENT & Otolaryngology

Three separate approvals before one patient sleeps through the night.

A sleep study authorisation, then a CPAP device authorisation, then ninety days of compliance data the payer can refuse on.

Your data stays yours. Encrypted in transit & at rest, no training on your data.

Central for ENT & Otolaryngology

Three separate approvals before one patient sleeps through the night.

A sleep study authorisation, then a CPAP device authorisation, then ninety days of compliance data the payer can refuse on.

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 ENT & otolaryngology practice we speak to describes, usually in the first ten minutes.

  1. The chain breaks in the middle

The study is approved, the device is ordered, and then compliance documentation is not submitted. The payer takes the device back and the patient stops treatment.

  1. Home study or in-lab, decided by the payer

Most plans now want a home sleep test attempted before they will authorise in-lab polysomnography, and the criteria differ by plan.

  1. Sinus surgery denials are routine

Balloon sinuplasty and FESS are among the most consistently denied procedures, usually on documented failure of medical management.

A 24-hour expedited review only holds if someone is watching it. Otherwise it quietly becomes a standard 72-hour review and treatment slips a week.

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.

01

Study authorised

HST or in-lab PSG filed according to the plan's criteria, with symptoms and comorbidities documented.

Device Authorised

02

Compliance Tracking

03

Surgery Auths

04

Denial Appeals

05

01

Study authorised

HST or in-lab PSG filed according to the plan's criteria, with symptoms and comorbidities documented.

Device Authorised

02

Compliance Tracking

03

Surgery Auths

04

Denial Appeals

05

NOMENCLATURE

You will not be explaining ENT & otolaryngology to us.

Our specialists are trained on your work before they touch it. This is the starting point, not the finished training.

CODES WE ALREADY KNOW

95810 polysomnography, attended

95810 polysomnography, attended

95806 home sleep apnoea test

95806 home sleep apnoea test

E0601 continuous positive airway pressure device

E0601 continuous positive airway pressure device

31295 - 31298 balloon sinus dilation

31295 - 31298 balloon sinus dilation

31276 nasal endoscopy with frontal sinus exploration

31276 nasal endoscopy with frontal sinus exploration

42820 tonsillectomy with adenoidectomy

42820 tonsillectomy with adenoidectomy

WHERE IT GETS DENIED

In-lab study without a failed home test

In-lab study without a failed home test

AHI below the plan's threshold

AHI below the plan's threshold

Compliance data not submitted in 90 days

Compliance data not submitted in 90 days

Medical management for sinusitis not documented

Medical management for sinusitis not documented

CT findings not attached to a surgical request

CT findings not attached to a surgical request

SYSTEMS YOU PROBABLY RUN

ModMed ENT

ModMed ENT

Epic

Epic

athenahealth

athenahealth

eClinicalWorks

eClinicalWorks

Availity

Availity

DME supplier portals

DME supplier portals

PAYER FRICTION WE EXPECT

Home-test-first policies

Home-test-first policies

AHI thresholds for device coverage

AHI thresholds for device coverage

90-day compliance requirements

90-day compliance requirements

Documented medical management before sinus surgery

Documented medical management before sinus surgery

THE SPLIT

The agent does one half. Our people do the other.

Everything repetitive.
Everything repetitive.

Works payer portals and practice systems directly

Works payer portals and practice systems directly

Calls payers and navigates phone trees

Calls payers and navigates phone trees

Assembles documentation out of the chart

Assembles documentation out of the chart

Recovers when a vendor redesigns a page

Recovers when a vendor redesigns a page

Runs nights, weekends and holidays

Runs nights, weekends and holidays

Everything that needs judgment.

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

Everything that needs judgment.

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

Judgment & exceptions

Approves every workflow before it runs

Handles denials, appeals and peer-to-peers

Signs in where a payer demands multi-factor

Takes the call that needs a human voice

Makes the cost conversation, never a bot

PROOF

Most AI vendors have never worked a denial.

Wing has staffed the back office of 10,000 companies. Central is the agent layer built on top of people who already know what a peer-to-peer is.

Provida Family Medicine

Needed clinic operations streamlined

50% faster admin ops

35% fewer billing errors

25% faster claims

They have a robust platform that makes communicating with our VA incredibly easy. It also helps that they act quickly and are incredibly responsive.

Christine Mulvey

Director of Marketing, charlesgate.com

COMMON QUESTIONS

COMMON QUESTIONS

Questions, before you book.

Where does the CPAP chain usually break?

At compliance. The study and device get authorised and then the ninety-day adherence data is never submitted, so the payer reclaims the device. We track that deadline as its own item.

Do you work with our DME supplier?

Yes. The handoff between practice and supplier is where sleep authorisations stall, so we chase both sides rather than assuming the order went through.

How quickly can we start?

One call is your whole part of the setup. We watch how the work is done today, build the workflow, and your lead approves every step before anything runs. Typical time to go live is around 48 hours for the first service.

What happens to patient data?

A BAA is signed before a single patient record is touched. Central is SOC 2 certified, HIPAA compliant and ISO 27001, work runs on managed devices with a full audit trail, and credentials stay encrypted and are never shared.

Where does the CPAP chain usually break?

At compliance. The study and device get authorised and then the ninety-day adherence data is never submitted, so the payer reclaims the device. We track that deadline as its own item.

Do you work with our DME supplier?

Yes. The handoff between practice and supplier is where sleep authorisations stall, so we chase both sides rather than assuming the order went through.

How quickly can we start?

One call is your whole part of the setup. We watch how the work is done today, build the workflow, and your lead approves every step before anything runs. Typical time to go live is around 48 hours for the first service.

What happens to patient data?

A BAA is signed before a single patient record is touched. Central is SOC 2 certified, HIPAA compliant and ISO 27001, work runs on managed devices with a full audit trail, and credentials stay encrypted and are never shared.

GOVERNANCE

Built for PHI, and for audit.

Enterprise healthcare buyers need more than a badge. These are the controls that keep the operating model defensible to compliance, security and your payers.

BAA before access

Executed before any patient data is touched. Pilots run on test accounts until it is in place.

Workflow approval

No workflow runs in production until your named lead has reviewed and approved every step.

Credential protection

Credentials are stored encrypted, used inside controlled sessions and never shared between personnel.

Action history

Every action is attributable to an agent or a named specialist, with a full audit trail.

Controlled access

Managed devices, role-based access and least-privilege scoping to only the systems a workflow needs.

Defined escalation

The conditions under which an agent stops and a person takes over are configured with you, not inferred.

Central Get your hours back.

Tell us the job you cannot keep staffed.

Twenty minutes, no deck. Name it and we will work one in front of you, live, on a test account.

Central Get your hours back.

Tell us the job you cannot keep staffed.

Twenty minutes, no deck. Name it and we will work one in front of you, live, on a test account.