Central for Neurology

Two failed prophylactics before CGRP approval.

MRI auths through the radiology benefit manager, infusion approvals with their own renewal clock, and migraine therapies gated behind step therapy. Central assembles the evidence and works the queue.

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

Central for Neurology

Two failed prophylactics before CGRP approval.

MRI auths through the radiology benefit manager, infusion approvals with their own renewal clock, and migraine therapies gated behind step therapy. Central assembles the evidence and works the queue.

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 neurology practice we speak to describes, usually in the first ten minutes.

  1. Migraine therapy is a step-therapy maze

Aimovig and Emgality usually require two documented prophylactic failures. Botox for chronic migraine needs fifteen headache days a month evidenced. That is chart work, per patient.

  1. Infusions renew and nobody is watching

Ocrevus, Tysabri and IVIG carry re-authorisations tied to the treatment interval, and a lapse means a missed infusion.

  1. Orders stall between referral and schedule

An EEG or EMG is ordered, authorised, and then sits — because the person who books it is not the person who authorised it.

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

Order and indication read

We read the order, check the RBM routing and identify what documentation the plan will require.

Imaging Auth

02

Step Therapy

03

Infusion Renewals

04

Denials Worked

05

01

Order and indication read

We read the order, check the RBM routing and identify what documentation the plan will require.

Imaging Auth

02

Step Therapy

03

Infusion Renewals

04

Denials Worked

05

NOMENCLATURE

You will not be explaining neurology 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

70553 MRI brain with and without contrast

70553 MRI brain with and without contrast

95816 / 95819 electroencephalogram

95816 / 95819 electroencephalogram

95886 needle EMG, complete

95886 needle EMG, complete

64615 chemodenervation for chronic migraine

64615 chemodenervation for chronic migraine

J2350 ocrelizumab

J2350 ocrelizumab

J1569 immune globulin

J1569 immune globulin

WHERE IT GETS DENIED

Fewer than two documented prophylactic failures

Fewer than two documented prophylactic failures

Headache days not evidenced for Botox

Headache days not evidenced for Botox

MRI without prior conservative management

MRI without prior conservative management

Infusion re-auth lapsed

Infusion re-auth lapsed

EMG and NCS billed without indication

EMG and NCS billed without indication

SYSTEMS YOU PROBABLY RUN

Epic

Epic

athenahealth

athenahealth

eClinicalWorks

eClinicalWorks

eviCore / Carelon portals

eviCore / Carelon portals

Availity

Availity

Infusion centre scheduling systems

Infusion centre scheduling systems

PAYER FRICTION WE EXPECT

CGRP step therapy requirements

CGRP step therapy requirements

Botox headache-day documentation

Botox headache-day documentation

RBM carve-outs for MRI

RBM carve-outs for MRI

Interval-based infusion re-authorisation

Interval-based infusion re-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

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.

Can you assemble headache diaries and trial history?

Yes. For CGRP and Botox requests that assembly is the bottleneck, not the submission, and it is repetitive retrieval work rather than clinical judgment.

Do you cover the infusion suite scheduling too?

We track the re-authorisation against the infusion interval and book the patient once the determination lands, so approval and scheduling stay in the same queue.

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.

Can you assemble headache diaries and trial history?

Yes. For CGRP and Botox requests that assembly is the bottleneck, not the submission, and it is repetitive retrieval work rather than clinical judgment.

Do you cover the infusion suite scheduling too?

We track the re-authorisation against the infusion interval and book the patient once the determination lands, so approval and scheduling stay in the same queue.

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.