CENTRAL FOR ONCOLOGY & HEMATOLOGY

The same patient, the same injection, re-authorised every single cycle.

Anti-VEGF authorisations that renew on a four-to-eight week clock, step therapy that wants Avastin tried first, and a clinic already running at volume. Central keeps the auth ahead of the injection date.

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

CENTRAL FOR ONCOLOGY & HEMATOLOGY

The same patient, the same injection, re-authorised every single cycle.

Anti-VEGF authorisations that renew on a four-to-eight week clock, step therapy that wants Avastin tried first, and a clinic already running at volume. Central keeps the auth ahead of the injection date.

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. Re-auth is the workload, not auth

Eylea and Lucentis are not authorised once. They are authorised again and again, and one lapsed renewal means a cancelled injection and a patient losing vision time.

AI AGENT

  1. Step therapy before the drug you chose

Many plans want bevacizumab documented as tried and failed before they will approve the branded agent. That documentation has to be assembled per patient.

AI AGENT

  1. Buy-and-bill exposure

You have already bought the drug. If the authorisation lapses before the patient receives it, that vial becomes your loss, not the payer’s. You absorb the cost while the process stalls.

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

Injection calendar read

We work from the treatment schedule, so the next authorisation is filed against the next injection date rather than after it.

Imaging Auth

02

Step Therapy

03

Renewal Tracking

04

Denial Appeal

05

01

Injection calendar read

We work from the treatment schedule, so the next authorisation is filed against the next injection date rather than after it.

Imaging Auth

02

Step Therapy

03

Renewal Tracking

04

Denial Appeal

05

NOMENCLATURE

You will not be explaining oncology & hematology 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

67028 intravitreal injection

67028 intravitreal injection

J0178 aflibercept

J0178 aflibercept

J2778 ranibizumab

J2778 ranibizumab

J9035 bevacizumab

J9035 bevacizumab

92134 OCT retina

92134 OCT retina

66984 cataract extraction with IOL

66984 cataract extraction with IOL

WHERE IT GETS DENIED

Step therapy with bevacizumab not documented

Step therapy with bevacizumab not documented

OCT findings not attached

OCT findings not attached

Injection interval shorter than plan allows

Injection interval shorter than plan allows

Re-authorisation lapsed between cycles

Re-authorisation lapsed between cycles

Cataract surgery without visual acuity threshold

Cataract surgery without visual acuity threshold

SYSTEMS YOU PROBABLY RUN

ModMed Ophthalmology

ModMed Ophthalmology

Nextech

Nextech

EyeMD EMR

EyeMD EMR

Epic

Epic

Availity

Availity

Buy-and-bill distributor portals

Buy-and-bill distributor portals

PAYER FRICTION WE EXPECT

Cycle-based re-authorisation

Cycle-based re-authorisation

Bevacizumab step requirements

Bevacizumab step requirements

Injection interval rules

Injection interval rules

Visual acuity thresholds for cataract

Visual acuity thresholds for cataract

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.

How do you stop a re-authorisation lapsing?

We work from the injection calendar rather than from a task list. Each renewal is filed against the next scheduled treatment date, so the auth is in place before the patient is in the chair.

Do you handle the step therapy documentation?

Yes. Assembling the prior bevacizumab trial and response from the chart is exactly the repetitive retrieval work agents do well, and it is the reason most of these get denied first time.

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.

How do you stop a re-authorisation lapsing?

We work from the injection calendar rather than from a task list. Each renewal is filed against the next scheduled treatment date, so the auth is in place before the patient is in the chair.

Do you handle the step therapy documentation?

Yes. Assembling the prior bevacizumab trial and response from the chart is exactly the repetitive retrieval work agents do well, and it is the reason most of these get denied first time.

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.