Praxis and Oscar Insurance Integration for Prior Authorization and Claims Management

Connect your systems: Your AI Deployment Engineer configures secure connections between Praxis EMR and Oscar Insurance's provider portal, mapping patient demographics, insurance coverage details, clinical documentation, authorization requirements, and claims data across both technology platforms.

Define the workflow: Specify your authorization and claims processing rules – whether it's automated eligibility checks for Oscar members, prior authorization submissions with clinical justifications from patient charts, real-time authorization status tracking, or streamlined claims submission with accurate coding.

AI Employees take over: Once configured, AI Employees automatically extract patient information, insurance details, and relevant clinical documentation from Praxis, then intelligently populate Oscar's authorization requests and claims forms with validated data – ensuring complete submissions without manual data re-entry or administrative burden.

Monitor performance transparently: AI Judges continuously validate that authorization requests include all required clinical justifications, claims submissions contain accurate patient identifiers, member IDs, procedure codes, diagnosis codes, and supporting documentation, and processing times meet your operational standards, flagging any incomplete or erroneous submissions.

Scale to more workflows: As your Oscar patient panel grows, easily extend automation to additional use cases like benefit verification, referral management, claim status monitoring, denial appeals with clinical documentation, payment reconciliation, and virtual care coordination across your entire insurance workflow.