SimplePractice and Centene Integration for Insurance Verification and Claims Submission

Connect your systems: Your AI Deployment Engineer works directly with your billing team to map how patient and insurance data flows between SimplePractice's practice management platform and Centene's managed care portals, identifying critical fields like patient demographics, Medicaid member IDs, authorization requirements, and billing codes. Define the workflow: Establish automation rules for when data should transfer—whether it's eligibility verification before intake appointments, prior authorization requests for therapy sessions, or claims submission after completed services. AI Employees take over: Once deployed, AI Employees autonomously execute insurance workflows, verifying Medicaid eligibility in real-time, submitting prior authorization requests with clinical justification, and processing claims with accurate CPT codes and session documentation—intelligently navigating Centene's various managed care plans and state-specific requirements. Monitor performance transparently: AI Judges continuously monitor every insurance transaction, tracking eligibility confirmation rates, authorization approval times, and claims acceptance percentages across different Centene programs, providing your billing team with complete visibility and early warning of potential issues. Scale to more workflows: After proving value with core insurance operations, expand automation to payment posting, claim status tracking, denial appeals, and coordination of benefits across your entire mental health practice.