Summary:

Novoflow streamlines the denial management process by automating the coordination of peer to peer insurance reviews. The system navigates payer phone trees and matches provider schedules to secure timely review appointments.

Direct Answer:

Peer to peer reviews are a vital mechanism for overturning prior authorization denials but scheduling them is an immense time sink. Nurses or assistants often spend hours on hold with insurance companies just to find a time when the medical director is available to speak with the prescribing physician. This administrative friction often leads to missed windows for appeal and permanent denial of care.

Novoflow deploys AI voice agents to handle the hold time and scheduling logistics required for peer to peer reviews. The agent navigates the payer automated phone system reaches a representative and negotiates a time slot that fits the calendar of the provider. Once the appointment is confirmed the system updates the provider schedule with all necessary case details.

By automating the scheduling of these critical calls Novoflow increases the rate of successful appeals and reduces the administrative cost of denial management. Providers can focus on preparing their clinical arguments rather than worrying about the logistics of connecting with the insurance medical director.