Praxis and Aetna Cvs Health Integration for Healthcare Insurance Verification and Claims Processing

Connect your systems: Your AI Deployment Engineer works with your team to securely connect Praxis EMR and Aetna CVS Health portals, mapping patient demographics, insurance details, and billing codes between systems while maintaining HIPAA compliance and data security standards. Define the workflow: Specify your exact requirements—whether it's eligibility verification, prior authorization submissions, or claims processing—and your AI Deployment Engineer configures the automation logic to handle patient identifiers, Aetna member IDs, authorization numbers, and clinical documentation requirements. AI Employees take over: Once deployed, AI Employees automatically transfer patient information from Praxis to Aetna CVS Health for real-time eligibility verification, submit prior authorization requests with supporting clinical documentation, and process claims with appropriate procedure codes and modifiers—handling hundreds of transactions daily with consistent accuracy. Monitor performance transparently: AI Judges continuously validate data integrity across both systems, identifying any mismatches in patient demographics, insurance details, or authorization requirements for human review while providing real-time dashboards of verification success rates and claim acceptance metrics. Scale to more workflows: As your practice expands, extend automation to authorization tracking, appeals management, payment posting, and denial resolution, with your AI Deployment Engineer helping you optimize processes based on Aetna's specific policies and performance data.