Central for Pain management

Every injection needs the conservative care documented all over again.

Epidurals, facet blocks and radiofrequency ablation on a repeating schedule, each with its own frequency limits and its own documentation burden. Central rebuilds the evidence every cycle so you do not have to.

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

Central for Pain management

Every injection needs the conservative care documented all over again.

Epidurals, facet blocks and radiofrequency ablation on a repeating schedule, each with its own frequency limits and its own documentation burden. Central rebuilds the evidence every cycle so you do not have to.

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

  1. The same documentation, every single time

Each injection request wants conservative care, duration, and response to the previous injection. It is the same chart work, repeated indefinitely.

  1. Frequency limits nobody tracks

Most plans cap injections per level per year. Exceeding the cap means an automatic denial that could have been predicted.

  1. Diagnostic blocks before ablation

RFA generally requires two documented diagnostic medial branch blocks with recorded relief percentages. If the relief was not quantified, the ablation is denied.

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

Request read against history

We check the injection history, the levels treated and where the patient sits against the plan's frequency limits.

Conservative Care

02

Response Quantified

03

Auth Filed

04

Denials & Limits

05

01

Request read against history

We check the injection history, the levels treated and where the patient sits against the plan's frequency limits.

Conservative Care

02

Response Quantified

03

Auth Filed

04

Denials & Limits

05

NOMENCLATURE

You will not be explaining pain management 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

62323 lumbar epidural injection with imaging guidance

62323 lumbar epidural injection with imaging guidance

64483 transforaminal epidural, lumbar

64483 transforaminal epidural, lumbar

64493 facet joint injection, lumbar

64493 facet joint injection, lumbar

64635 radiofrequency ablation, lumbar facet

64635 radiofrequency ablation, lumbar facet

20610 major joint injection

20610 major joint injection

77003 fluoroscopic guidance

77003 fluoroscopic guidance

WHERE IT GETS DENIED

Conservative care not documented for the required period

Conservative care not documented for the required period

Relief percentage from prior block not quantified

Relief percentage from prior block not quantified

Frequency limit per level exceeded

Frequency limit per level exceeded

Bilateral billed without separate indication

Bilateral billed without separate indication

Imaging guidance not documented

Imaging guidance not documented

SYSTEMS YOU PROBABLY RUN

athenahealth

athenahealth

eClinicalWorks

eClinicalWorks

Epic

Epic

Raintree

Raintree

Availity

Availity

Payer management vendor portals

Payer management vendor portals

PAYER FRICTION WE EXPECT

Per-level annual frequency caps

Per-level annual frequency caps

Two diagnostic blocks before ablation

Two diagnostic blocks before ablation

Quantified relief requirements

Quantified relief requirements

Conservative care duration rules

Conservative care duration rules

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

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

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

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 track frequency limits per level?

Yes, and this is where most pain practices lose approvals. We track injections against the plan's per-level annual cap so a request that will automatically deny is flagged before it is filed.

What about the relief percentages for ablation?

Those have to be quantified in the note for the ablation to be approved. We pull them from the prior block documentation, and flag it when the number was never recorded.

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 track frequency limits per level?

Yes, and this is where most pain practices lose approvals. We track injections against the plan's per-level annual cap so a request that will automatically deny is flagged before it is filed.

What about the relief percentages for ablation?

Those have to be quantified in the note for the ablation to be approved. We pull them from the prior block documentation, and flag it when the number was never recorded.

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.