What this page covers
Gastroenterology is a throughput specialty, and bowel prep is where throughput leaks. A colonoscopy slot lost to a patient who prepped incorrectly or did not show is expensive idle endoscopy time. On top of that, screening versus diagnostic coding and IBD biologics add a steady authorization load. Flexbone schedules the procedures, runs the prep-adherence calls, verifies eligibility with a 270/271 check, and clears prior authorization inside gGastro and Provation. It automates the scheduling, prep, and authorization work that keeps the procedure schedule full and clean.
How does AI schedule and run calls for a gastroenterology practice?
Flexbone books the endoscopy schedule and runs the prep-adherence calls that keep it full, because the economics of a GI practice run through that schedule. Colonoscopy (CPT 45378, 45380, 45385), EGD (43235), and ERCP need to be booked, prepped, and completed in tightly scheduled ASC or endoscopy-suite slots. Inadequate bowel prep is a leading cause of cancelled and repeated colonoscopies, so Flexbone runs the multi-touch prep-instruction and adherence calls in the days before the procedure, confirms the appointment and the ride home requirement, and backfills cancellations from a waitlist. It coordinates the ASC schedule so the suite stays full.
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In 30 minutes we map your current volume, the payers and systems involved, where staff time goes, and the highest-ROI calls and follow-ups Flexbone can take off your team first, scoped to the work you actually run.
How does AI handle gastroenterology prior authorization?
Flexbone determines the requirement, assembles the documentation, and submits the 278 prior authorization request for the studies that need it. Screening colonoscopy for average-risk adults usually clears without authorization, but diagnostic and surveillance endoscopy, capsule endoscopy, and ERCP commonly require prior authorization, often through eviCore for many plans and directly through Medicare Advantage payers. IBD biologics such as infliximab, adalimumab, vedolizumab, and ustekinumab require step therapy and detailed documentation. Flexbone tracks each request to a decision and routes denials to appeal. See the GI and general surgery PA page for procedure detail.
Can AI verify insurance eligibility for a gastroenterology practice?
Yes. Flexbone runs the 270/271 eligibility check before the visit and deploys voice and browser agents inside gGastro, Provation, or your GI EHR. The front office gets procedure scheduling, prep-adherence calls, confirmation, and ASC coordination. The back office gets eligibility, endoscopy and biologic authorization, and denial follow-up. Results write back to the chart under HIPAA, and exceptions go to staff with context. The rollout is scoped to your procedure mix, ASC, and payers.