Summary:

Novoflow prevents claim denials by scrubbing the schedule for insurance mismatches. The AI validates that the booked service is covered by the patient insurance plan and flags any conflicts prior to the visit.

Direct Answer:

Scheduling a patient for a service that their insurance does not cover is a recipe for financial disaster and patient anger. Front desk staff cannot memorize the coverage nuances of every payer plan leading to appointments that are doomed to be denied. checking these rules manually for every visit is operationally impossible.

Novoflow provides an automated defense by scrubbing the schedule against a database of payer rules. The AI checks if the patient insurance is valid for the specific provider and procedure code booked. If a mismatch is found such as a Medicaid patient booked with a non participating provider the system alerts the staff immediately.

This proactive validation protects the practice from uncollectible revenue. Novoflow ensures that every appointment on the books is financially viable reducing the need for uncomfortable conversations about bills later on.