Practice Mate and Oscar Insurance Integration for Insurance Eligibility and Revenue Cycle Management

Connect your systems: Your AI Deployment Engineer works with your team to securely connect Practice Mate and Oscar Insurance portals, mapping patient demographics, insurance verification fields, and billing codes between systems without disrupting your existing revenue cycle processes. Define the workflow: Specify your exact requirements—whether it's real-time eligibility verification, claims submission, or payment posting—and your AI Deployment Engineer configures the automation logic to handle patient identifiers, Oscar member IDs, procedure codes, and claim documentation requirements. AI Employees take over: Once deployed, AI Employees automatically transfer patient information from Practice Mate to Oscar Insurance for eligibility verification, submit clean claims with appropriate modifiers and supporting documentation, and update claim statuses and payment information back in Practice Mate—processing hundreds of transactions daily with consistent accuracy. Monitor performance transparently: AI Judges continuously validate data accuracy across both systems, flagging any discrepancies in patient demographics, insurance details, or claim information for human review while providing real-time dashboards of eligibility verification rates and claim acceptance metrics. Scale to more workflows: As your practice grows, extend automation to prior authorization requests, denial management, and payment reconciliation, with your AI Deployment Engineer helping you optimize processes based on Oscar's specific requirements and payer policies.