What this page covers
Interventional pain management is one of the most authorization-heavy specialties, because so many of its procedures need prior authorization before they can be scheduled. Epidural steroid injections, facet and medial branch blocks, radiofrequency ablation, and implantable devices carry strict medical-necessity criteria, frequently reviewed by a benefit manager. Many of these procedures also run as a diagnostic-then-therapeutic series that has to stay in sequence. Flexbone automates that authorization work and the scheduling around it so the procedure calendar stays full and covered.
How does AI handle interventional pain prior authorization?
AI assembles the conservative-care documentation reviewers expect, submits the request, and tracks it to a decision. The defining administrative feature of interventional pain is that authorization gates the schedule. Epidural steroid injections, facet joint and medial branch blocks, radiofrequency ablation, and spinal cord stimulator trials and implants commonly require prior authorization with documented conservative-care history and medical-necessity criteria, and many plans, Medicare among them, route these through a benefit manager such as eviCore or Carelon. Flexbone determines the requirement, assembles the conservative-care and imaging documentation reviewers expect, submits the 278 request with the relevant CPT codes, and tracks it to a decision, routing denials to peer-to-peer and appeal. The orthopedic, spine, and pain prior authorization page covers the criteria.
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How does AI schedule pain procedures and keep a series on track?
AI books each procedure once authorization is in hand and schedules the next step in the series. Pain procedures often run as a series, a diagnostic block followed by a therapeutic one or an ablation, so keeping the sequence on schedule matters to both outcomes and revenue. Flexbone books the procedures once authorization is in hand, confirms appointments and pre-procedure instructions, schedules the next step in a series, and fills cancellations from a waitlist. It runs a 270/271 eligibility check before each procedure so a coverage gap does not surface after the injection is done.
How Flexbone runs a pain management practice
Flexbone deploys voice and browser agents inside your pain management EHR. The front office gets procedure scheduling, series coordination, confirmation, and recall. The back office gets eligibility, interventional authorization, and denial follow-up that reads the 835 remittance and its CARC and RARC codes. Results write back to the chart, and exceptions go to staff with context. The rollout is scoped to your procedure mix, benefit managers, and payers.