GENHEALTH FOR PLASTIC SURGERY

Streamline authorizations for reconstructive and medically necessary procedures

Plastic surgery practices navigate prior authorizations that distinguish reconstructive from cosmetic procedures. GenHealth automates medical necessity documentation for breast reconstruction, functional rhinoplasty, and other covered procedures.
Brightree
UnitedHealthcare
Cigna
Aetna
Niko Health
Epic Systems
eClinicalWorks
athenahealth
eMedNY
myCGS DME MAC
Noridian Medicare
CMS
EviCore
Gmail
Outlook
RingCentral
Faxage
Reconstructive Surgery

Reconstructive Surgery for Plastic Surgery

Automated PA for post-mastectomy reconstruction, trauma repair, and cancer reconstruction.

Learn more about Reconstructive Surgery
Functional Procedures

Functional Procedures for Plastic Surgery

Streamlined authorization for functional rhinoplasty, blepharoplasty, and panniculectomy.

Learn more about Functional Procedures
Medical Necessity Documentation

Medical Necessity Documentation for Plastic Surgery

AI-assisted documentation distinguishing reconstructive from cosmetic indications.

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Photo Documentation

Photo Documentation for Plastic Surgery

Integrated clinical photography support for authorization submissions.

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Measurable Results

See the impact of AI automation for plastic surgery practices

88%

Reconstructive approval rate

70%

Reduction in auth time

85%

First-pass documentation acceptance

Trigger

When events happen in your EMR

New orders, referrals, or patient data that need prior authorization or eligibility verification.
Your EMR System

Monitoring for new events

AI Action

GenHealth AI takes over

AI automatically processes plastic surgery-specific workflows, submits authorizations, and closes the loop.
Automated Processing

Complete without manual intervention

Prior Authorization

Prior Authorization for Plastic Surgery

AI-powered prior auth submission and tracking with automated medical necessity documentation.

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Eligibility Verification

Eligibility Verification for Plastic Surgery

Real-time insurance eligibility checks with automated benefit verification and patient notifications.

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Patient Intake

Patient Intake for Plastic Surgery

Automated data entry and document processing that extracts information from faxes and uploads.

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Referral Management

Referral Management for Plastic Surgery

Streamlined specialist referral workflows with automated tracking and follow-up.

Learn more about Referral Management

Ready to automate your plastic surgery practice?

See how GenHealth can reduce administrative burden by over 80% and accelerate patient care.