What changes
The day before MedFlo, and the day after.
Without MedFloWith MedFlo
Re-keying the same packet into every payer portalPre-authorization built from the packet and submitted for you
Tracking review due dates in a spreadsheetReviews scheduled to each contract’s cadence
Rewriting therapy and nursing notes into a justificationA drafted justification, ready for your review
Counting authorized days by handAuthorized days tracked on every resident
On hold with the payer for a status updateAn AI phone agent calls and writes the answer back
Learning about a plan switch after the days are gonePlan changes surfaced in your queue
Built for case managers
Pre-authorization from the packetBuilt from what admissions captured, submitted through payer portals and followed to a decision, with your contract’s auth rules applied.
Reviews on the contract’s scheduleConcurrent reviews are scheduled from the review cadence in each payer agreement, so nothing depends on memory.
Drafted justificationsMedFlo drafts each review from therapy and nursing notes with the sources listed. You edit, approve and submit.
Status without the holdThe AI phone agent calls payers for authorization status. Plan changes after admission land here too.
Concurrent reviews
Start from a draft, not a blank page
When a review comes due, the justification is already written from the latest therapy and nursing documentation, with every source listed. You decide what gets sent.
Concurrent review · R. MoralesFor your review
Skilled need · drafted justification
Resident continues to require skilled therapy and nursing. Ambulating 60 ft with a rolling walker and partial assistance, up from 15 ft at the prior review. Stage 3 sacral pressure injury managed with negative-pressure wound therapy, dressing changes three times weekly.
PT daily noteSep 19
Wound care noteSep 20
OT progress noteSep 18
Authorized through Sep 28Review cadence: every 7 days, per contract
Payer status call · A. DiazAI phone agent
Called the payer utilization lineDone
Gave member ID and reference numberDone
Authorization extended through Oct 5Done
Next review date confirmedDone
Written back to the resident recordFor review
Authorized days updated on the case
MedFlo AI
The payer call, handled
The AI phone agent waits on hold, asks for the authorization status and writes the answer back to the resident. Authorized days and the next review date update on the case for you to confirm.
The modules you'll use