Custom AI automations designed for the daily challenges pediatric practice managers face. Stop doing manually what AI can handle.
AI triages each denial by root cause, recovery likelihood, and appeal deadline — the team works the right denials first and the aged ones don't die quietly.
AI runs PDMP checks on every controlled-substance order, documents the check in athenahealth, flags concerning patterns, and generates compliance reports — audit-ready, every prescription.
AI schedules infusions against chair capacity in athenahealth, verifies drug stock and PA, and rebalances when patients reschedule — chair utilization climbs and patients stop waiting.
AI checks payer-specific PA requirements, pulls the chart from athenahealth, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.
AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles.
AI sends the intake packet via athenahealth, ingests responses, requests records from prior providers via HIE/fax, verifies insurance, and pre-populates the chart — patient arrives and the provider is ready.
AI triages incoming referrals by acuity, schedules them into open slots in athenahealth, and chases outgoing referral loop closure with consulting providers — no referral gets lost.
AI sends personalized, channel-optimized reminders (SMS/email/voice) per patient preference, offers reschedule slots, and fills openings from the recall list — no-show rate drops to under 6%.
These are just examples. If you're a pediatric practice manager with a repetitive process that's eating your time, we can probably automate it.