The Challenge
Sinus and airway procedures need auth
Balloon sinuplasty, septoplasty, and sleep procedures each face medical-necessity review.
Conservative-therapy rules
Payers demand documented failed treatment before approving surgery, and staff assemble it manually.
Hearing benefits vary by plan
Device coverage and allowances differ per payer, so quotes are wrong more often than not.
Audiology claims fail on detail
Missing modifiers and unmet frequency limits send otherwise valid claims back.
Approvals expire before surgery
Scheduling delays outlast the authorization window and the request has to be redone.
Capabilities
Works inside your systems
Healthflo operates the software the way your staff does, integrating via APIs and agentic browsing.
Completes tasks autonomously
Escalates only what matters to your team, autonomously completes the rest.
Customized to how you operate
Every organization's admin is different, no changing internal processes.
How it works
01
Demo.
Your workflows, customized from the Healthflo marketplace.
02
Configure & Train.
Your EHR, your clearinghouse, your accounting system, your rules.
03
Go Live.
Your processes on autopilot, with a human in the loop.
Security
- HIPAA Compliant
- Signed BAA
- Access logged
- Encrypted at rest and in transit
- No clinical workflows