AI for Prior Authorization Status Calls
CuraVoice calls the payer or its utilization-management vendor to check on a pending prior authorization, and brings your staff in when a person answers.
The problem
A pending authorization holds up a scheduled procedure. Staff call to chase it, often to a separate vendor with its own menu and its own queue, and the hold can outlast the rest of their morning.
How the call runs
- Pending authorizations are loaded with their reference numbers.
- The agent dials the authorization line for that payer or vendor.
- It navigates the menu and enters the identifiers and reference number.
- Your authorization specialist joins when a representative picks up.
What your staff do
Your specialist handles the conversation: what is missing, whether a peer-to-peer review is needed, and when a decision is due.
Getting started
The agent works from a CSV export of your work queue, so no integration is needed to begin. Every call is recorded and logged with its outcome. See how payer calling works.
Common questions
Does the agent submit authorization requests?
No. It handles phone follow-up on requests your team has already submitted.
Does the AI speak to the payer representative?
By default, no. When a live representative answers, your staff member is warm-transferred into the call to have the conversation.
Related
Run it against your top payers
Tell us which payers your team calls most and we will show you a call from dial to hand-off.
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