Praxis and Medica Integration for Eligibility Verification and Claims Processing

Connect your systems: Your AI Deployment Engineer configures secure connections between Praxis EHR and Medica's insurance portal, mapping patient demographics, insurance details, eligibility data, claims information, and authorization requirements across both platforms.

Define the workflow: Specify your insurance verification and claims submission rules – whether it's automated eligibility checks at appointment scheduling, real-time benefit verification before procedures, or streamlined claims submission with supporting documentation from patient records.

AI Employees take over: Once configured, AI Employees automatically extract patient information from Praxis, verify coverage and benefits in Medica's portal, validate authorization requirements, and submit claims with accurate coding and documentation – all without manual intervention or data re-entry.

Monitor performance transparently: AI Judges continuously validate that eligibility checks return accurate coverage information, claims submissions include all required fields like patient identifiers, procedure codes, diagnosis codes, and supporting documentation, and processing occurs within your defined timeframes, flagging any discrepancies for review.

Scale to more workflows: As your practice grows, easily extend automation to additional use cases like prior authorization management, claim status tracking, denial resolution, payment posting, and patient responsibility calculations across your entire revenue cycle.