CENTRAL FOR GASTROENTEROLOGY

It was a screening colonoscopy until you found a polyp.

Screening versus diagnostic coding that changes the patient's cost share mid-procedure, anaesthesia authorised separately, and a prep-instruction call that decides whether the day runs at all. Central covers the whole episode.

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

CENTRAL FOR GASTROENTEROLOGY

It was a screening colonoscopy until you found a polyp.

Screening versus diagnostic coding that changes the patient's cost share mid-procedure, anaesthesia authorised separately, and a prep-instruction call that decides whether the day runs at all. Central covers the whole episode.

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 ob/gyn practice we speak to describes, usually in the first ten minutes.

  1. The screening-to-diagnostic flip

The patient was told it was fully covered. A polyp is removed, the code changes, and a bill arrives. The modifier prevents this, but must be applied every time.

AI AGENT

  1. Anaesthesia is a separate authorisation

00812 versus 00811 depends on whether the procedure stayed screening. Two different auths, two different outcomes, decided during the procedure.

AI AGENT

  1. Prep calls make the difference

An unprepped patient is a cancelled slot you cannot refill. The call that prevents it is the one nobody has staff to make.

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.

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.

01

Referral and benefits worked

Coverage confirmed before booking, including whether the plan treats this as screening and what the cost share becomes if it converts.

Auth & Anaesthesia Filed

02

Prep call made

03

Conversions Handled

04

Cancellations Backfilled

05

01

Referral and benefits worked

Coverage confirmed before booking, including whether the plan treats this as screening and what the cost share becomes if it converts.

Auth & Anaesthesia Filed

02

Prep call made

03

Conversions Handled

04

Cancellations Backfilled

05

NOMENCLATURE

You will not be explaining gastroenterology 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

45378 diagnostic colonoscopy

45378 diagnostic colonoscopy

45380 colonoscopy with biopsy

45380 colonoscopy with biopsy

G0121 screening colonoscopy, average risk

G0121 screening colonoscopy, average risk

00811 / 00812 anaesthesia for lower endoscopy

00811 / 00812 anaesthesia for lower endoscopy

43235 upper GI endoscopy

43235 upper GI endoscopy

Modifier 33 / PT preventive conversion

Modifier 33 / PT preventive conversion

WHERE IT GETS DENIED

Screening interval too short for the payer

Screening interval too short for the payer

Modifier 33 or PT omitted on conversion

Modifier 33 or PT omitted on conversion

Anaesthesia billed without medical necessity

Anaesthesia billed without medical necessity

Anaesthesia billed without medical necessity

Anaesthesia billed without medical necessity

Prior pathology not attached

Prior pathology not attached

SYSTEMS YOU PROBABLY RUN

Epic

Epic

athenahealth

athenahealth

gGastro

gGastro

Provation for endoscopy reporting

Provation for endoscopy reporting

eClinicalWorks

eClinicalWorks

Availity

Availity

PAYER FRICTION WE EXPECT

Screening interval rules that vary by plan

Screening interval rules that vary by plan

Screening interval rules that vary by plan

Screening interval rules that vary by plan

Surveillance versus screening definitions

Surveillance versus screening definitions

Separate ASC authorisation

Separate ASC authorisation

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

Judgment and 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

Judgment and 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

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 Al 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.

Do you make the prep calls, or just the authorisations?

Both. In GI the prep call is the one that decides whether the list runs, so it sits in the same queue as the auth rather than in a different team's backlog.

Can you handle the screening-to-diagnostic conversion?

Yes. The modifier and the cost-share conversation are worked as part of the episode. This is the single most common source of a surprise bill in GI, and it is preventable.

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.

Do you make the prep calls, or just the authorisations?

Both. In GI the prep call is the one that decides whether the list runs, so it sits in the same queue as the auth rather than in a different team's backlog.

Can you handle the screening-to-diagnostic conversion?

Yes. The modifier and the cost-share conversation are worked as part of the episode. This is the single most common source of a surprise bill in GI, and it is preventable.

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 named specialist, with a full audit trail for complete visibility.

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.