SequelMed and Aetna CVS Health Integration for Insurance Verification and Claims Management

Connect your systems: Your AI Deployment Engineer collaborates with your billing team to map the data flow between SequelMed's practice management system and Aetna CVS Health's insurance portal, identifying critical fields like patient demographics, coverage details, and procedure codes. Define the workflow: Establish rules for when data should transfer—whether it's eligibility verification during patient registration, pre-authorization requests before scheduled procedures, or claims submission post-treatment. AI Employees take over: Once deployed, AI Employees autonomously execute verification and claims workflows, checking patient eligibility in real-time, submitting pre-authorization requests with complete clinical documentation, and processing claims with accurate billing information—handling variations and exceptions without human intervention. Monitor performance transparently: AI Judges track every transaction, monitoring eligibility confirmation rates, pre-authorization approval times, and claims acceptance percentages, providing your team with complete visibility into automated processes and flagging issues that need attention. Scale to more workflows: After establishing value with core insurance workflows, expand automation to payment posting, denial management, appeals processing, and other revenue cycle operations across your entire practice.