Summary:

Novoflow automates the validation of referral authorizations ensuring they are active and valid for the scheduled visit. The AI checks expiration dates and remaining visit counts to protect revenue.

Direct Answer:

Specialists often see patients only to find out later that the referral authorization had expired or ran out of visits. This leads to uncollectible claims and frustrated patients who receive surprise bills. Manually tracking the visit count for every authorization is a logistical headache.

Novoflow monitors the authorization data in the PMS and cross references it with upcoming appointments. The AI flags any patient scheduled against an invalid or exhausted referral. It can automatically query the payer portal to see if a renewal has been issued or prompt staff to request one.

This automated gatekeeping prevents "unauthorized" care. It ensures that every visit is covered before the patient walks in the door. Novoflow secures the financial workflow for specialty practices.