Praxis and UnitedHealth Group Integration for Insurance Eligibility and Claims Processing

Connect your systems: Your AI Deployment Engineer works with your team to understand how patient data flows between Praxis EMR and UnitedHealth Group Provider Portal, mapping critical fields like patient identifiers, insurance details, eligibility status, and prior authorization requirements. Define the workflow: Specify when and how data should move between systems—whether it's real-time eligibility checks when scheduling appointments, automated prior authorization submissions, or claims processing after patient encounters. AI Employees take over: Once configured, AI Employees execute your workflows autonomously, verifying patient eligibility, submitting prior authorizations with complete clinical documentation, and processing claims with accurate billing codes—all while handling exceptions and edge cases intelligently. Monitor performance transparently: AI Judges continuously evaluate every transaction, flagging eligibility discrepancies, tracking authorization approval rates, and ensuring claim accuracy, giving your billing team full visibility into automated processes. Scale to more workflows: After proving value with eligibility and claims automation, expand to additional workflows like benefits verification, appeals management, and payment reconciliation across your entire revenue cycle.