Insurance Eligibility Verification for Pain Management Practice Managers with NextGen
The Problem
Front-desk eligibility checks for Pain Management patients run manually against payer portals — patients show up with inactive coverage and the practice absorbs the write-off.
What We Build in NextGen
AI runs eligibility 72 hours before every appointment, flags inactive or changed coverage, and triggers patient outreach for new info — write-offs from bad eligibility drop 85%. Purpose-built for teams running NextGen — uses the native API or agent integration so nothing leaves the system of record.
NextGen Integration Approach
Audit your NextGen configuration
We map the specific NextGen objects, custom fields, and workflows the automation needs to touch for your pain management practice.
Build on the NextGen API or agent
Integration happens inside NextGen — no data leaves the system, no parallel tool for your team to learn, no license changes.
Human-in-the-loop handoff
Every automation routes exceptions back to a human in NextGen with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your NextGen instance
30-minute call. We'll look at your actual NextGen setup and show exactly how this workflow fits.