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.

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.

  1. 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

  1. 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

  1. 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.

01

Order lands

An MRI or CT order drops from the surgeon. We read the note, pull the conservative-care history and check whether the payer routes through eviCore or Carelon.

Auth Submitted

02

Determination Chased

03

Denial Resolved

04

Auths Chased Together

05

01

Order lands

An MRI or CT order drops from the surgeon. We read the note, pull the conservative-care history and check whether the payer routes through eviCore or Carelon.

Auth Submitted

02

Determination Chased

03

Denial Resolved

04

Auths Chased Together

05

NOMENCLATURE

You will not be explaining orthopedics 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

73721 MRI knee without contrast

73721 MRI knee without contrast

73221 MRI upper extremity joint

73221 MRI upper extremity joint

27447 total knee arthroplasty

27447 total knee arthroplasty

29881 knee arthroscopy with meniscectomy

29881 knee arthroscopy with meniscectomy

L1833 / L1851 knee orthoses

L1833 / L1851 knee orthoses

E0747 bone growth stimulator

E0747 bone growth stimulator

WHERE IT GETS DENIED

Conservative care not documented for the full period

Conservative care not documented for the full period

PT notes attached but not dated

PT notes attached but not dated

Imaging ordered before the injection trial

Imaging ordered before the injection trial

DME billed without the surgical auth referenced

DME billed without the surgical auth referenced

Site-of-service pushed to ASC after approval

Site-of-service pushed to ASC after approval

SYSTEMS YOU PROBABLY RUN

Epic

Epic

athenahealth

athenahealth

Modernizing Medicine (ModMed Ortho)

Modernizing Medicine (ModMed Ortho)

eClinicalWorks

eClinicalWorks

eviCore / Carelon portals

eviCore / Carelon portals

Availity

Availity

PAYER FRICTION WE EXPECT

RBM carve-outs for advanced imaging

RBM carve-outs for advanced imaging

Workers' comp adjusters on separate timelines

Workers' comp adjusters on separate timelines

Separate DME benefit administrators

Separate DME benefit administrators

72-hour peer-to-peer windows

72-hour peer-to-peer windows

THE SPLIT

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

AGENT

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

PERSON

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

PERSON

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

PERSON

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

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 handle workers' comp authorisations?

Yes. Comp runs on its own timelines, its own adjusters and its own forms, and it is usually the queue that gets dropped first. We work it as a separate lane with its own follow-up clock.

Can you book the peer-to-peer around theatre time?

That is the point of having people rather than only agents. A specialist takes the peer-to-peer scheduling, works around your OR block and briefs the surgeon with the denial reason and the missing documentation before the call.

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 handle workers' comp authorisations?

Yes. Comp runs on its own timelines, its own adjusters and its own forms, and it is usually the queue that gets dropped first. We work it as a separate lane with its own follow-up clock.

Can you book the peer-to-peer around theatre time?

That is the point of having people rather than only agents. A specialist takes the peer-to-peer scheduling, works around your OR block and briefs the surgeon with the denial reason and the missing documentation before the call.

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

Central picks up work seamlessly across all the channels your organisation already uses every day.

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.