What a clinic gets back for each referred patient
Put in the clinic as it is: the patients you send out for nutrition care each month, how many of them need a prior authorisation, and how long one coverage check takes your staff today. Everything below is arithmetic over those three fields, printed under the table. The only figure that is not yours is the pilot practice’s 41 second average verification call.
Your clinic
| Per month | Per week | Per year | |
|---|---|---|---|
| Verifications and authorisation calls auro runs | 0 | 0 | 0 |
| Hours the clinic’s staff stay off the payer line | 0 | 0 | 0 |
| Hours Lana spends on the payer line instead | 0 | 0 | 0 |
| Patients coming back with a verified benefit | 0 | 0 | 0 |
| Prior authorisations established before the first visit | 0 | 0 | 0 |
That is one month, on paper.
See it run on your referrals.
Book a demoArithmetic over the three fields above, for discussion. The 41 second average verification call is the pilot practice’s own, measured pickup to reference number. auro guarantees no particular result; the record reports what happened.
How this is worked out
Three fields in, five lines out. Per week is per month × 12 ÷ 52, and per year is per month × 12; nothing else is scaled.
Verifications and authorisation calls auro runs
patients referred + the ones needing a prior authorisationOne benefit verification per referral, and one authorisation call on top for each patient that needs one, so 0 + 0 = 0 calls a month. If you enter more authorisations than referrals, the count is held at the referrals, because there is no patient to call about.
Hours the clinic’s staff stay off the payer line
calls × minutes per coverage check ÷ 60Those are your own staff’s minutes, 0 of them a month, from the field above. With auro they are not spent, because it is not your staff on the line.
Hours Lana spends on the payer line instead
calls × 41 s ÷ 3600The pilot practice’s average verification call, pickup to reference number. The work does not disappear; it moves.
Patients coming back with a verified benefit
patients referredEvery referral is verified before the first visit, so the count is the number you entered. What comes back is the benefit, the reference number, the representative’s name where one was given, and the recording. When a representative is unsure, the visit is flagged for a person rather than answered; that is why this column is a count of patients and not a promise about coverage.
Prior authorisations established before the first visit
the number you entered, held at the number referredAn authorisation is its own call, on its own reference number, filed on the same record as the verification.
What the clinic gets back, stage by stage
Referral
Coverage known before the first visit
First visit
The note, the plan, the claim
Titration
Every dose change, a cadence
Session block
A report back per patient
Renewal
Coverage that changes, re-checked
Maintenance
Graduates, still on the record
- Office Ally
- Helcim
- Microsoft 365
- Zoom
- Outlook
- Stripe
- Fullscript
- UnitedHealthcare
- Cigna
- Aetna
- Blue Cross
- Medline
- McKesson
- Twilio
- Deepgram
What the pilot reported
From the pilot practice’s September close, on the ledger in auro Money.
41 s
average verification call, IVR to reference number
98%
of claims paid on first pass
84%
of patients logging every day
12 of 12
notes signed for billed visits
“The calculator showed us we were leaving forty thousand dollars a year on the table. We started collecting it the next month.”