Patient intake and scheduling

• Eligibility checks, referral triage, digital forms, insurance card OCR.
• Appointment scheduling, reminders, and prep instructions.

Prior authorization and eligibility

• Prior auth packet assembly, payer rules, medical necessity summaries.
• Status follow ups, denial risk alerts, and appeals.

Clinical documentation and coding

• Ambient note capture, chart summarization, ICD or CPT suggestions, CDI queries.
• Quality measure reminders and population health tagging.

Billing and revenue cycle

• Claims scrubbing, ERA or EOB posting, denial management, and payment plans.
• Patient estimates and financial counseling in channel.

Patient support and navigation

• Benefit explanations, pre op or post op instructions, wayfinding, portal help.
• Nurse line triage and remote monitoring escalations.

Compliance and audit

• HIPAA, GDPR, PHI redaction, access logging, and retention policies enforced.
• Regulatory reporting and risk alerts across the care continuum.