GoRev AI Generated Documents
What's better than RI (real intelligence)? Integrating AI into it! As of GoRev version 2023.06.08 we have integrated ChatGPT via API. The guide below will walk you through the first use case of what we are sure will be many within the GoRev suite of solutions.
DISCLAIMER:
This feature utilizes artificial intelligence
Relying on artificial intelligence response as legal or professional advice does not not constitute legal or professional advice. Artificial intelligence-based responses are provided solely as an informational service and should not be relied upon as a substitute for m of advice. In no event shall GoRev be held liable for any direct, indirect, incidental, special, or consequential damages arising from the use of such information.
Adding AI Document Generation to your GoRev plan
Please reach out to sales@gorev.zendesk.com or submit a ticket within GoRev IT Support Ticket Creation
We'll have you up and running within a day or two!
Accessing the AI Document Generator within GoRev
There are three main ways to access the AI Document Generator within GoRev. All methods require you have a current patient selected either through a GoRev module or by clicking a row on a report grid.
Within Print Forms
within Workflow
within any data grid (followup or reports)
Generating a document using AI
Initially we have this feature restricted to specific appeal categories. We will refine this module as we receive feedback and potentially open up to more areas soon. The AI system will take into consideration many factors related to the Patient visit you have selected including: the insurance carrier currently set as active and the amount the insurance carrier allowed on the claim. It is important you have a single Patient selected prior to initiating generation.
Note: No PHI is transferred over the API calls to ChatGPT. Only generalized data.
STEP 1 - Pick your document criteria down the left hand side.
Types
- Appeal - A claim appeal you would typically submit via mail or fax to an insurance carrier
- Reconsideration - A document you would typically submit via online payer website as a first step prior to appeal
- Patient Communication - A letter you would typically mail to a patient or send digitally through Patient Portal User Manual
- Patient Communication Demanding - A more aggressive patient communication typically reserved for more intense scenarios. As an example, to address a patient who received a payment direct for services you provided who has yet to remit payment to you
Claim Type
- In-Network - Use when you have a contract with the insurance carrier
- Out-Of-Network - Use when you do not have a contract with the insurance carrier
Purpose
Select a purpose that most aligns with the document you wish to generate.
Legal Context
Select one or more legal contexts to help AI draft a document relative to your environment and specific needs.
Scroll down and select a Desired Outcome
If Receipt of Additional Payment is selected, specify the $ amount you are requesting and it will be embedded into the document.
Adjudication of Claim - Useful for generating appeals tailored towards resolving denied claims
Return of Money - Useful when communicating with Patients to retrieve direct paid to patient amounts or to address erroneous recoupments/refund requests from insurance carriers.
When ready click Generate Document
You will be presented with a document in an editable window. All content can be edited. Once ready to finalize click Save to Patient Overview
Or click Print
This saves a rich text document of the appeal to Patient Overview. From there you can right click and utilize the built in e-faxing system or using your existing transmission methods to submit the appeal. You should also be able to open the letter in Microsoft Word or other text editor and make changes as needed.
GoRev Support Team
If you have any questions, concerns, or problems regarding this GoRev Tutorial, please contact the GoRev Support Team by submitting an IT Support Ticket, by phone at 1-(317)-794-3900, and/or by email at ask@gorev.com.
Note: If possible, always submit an IT Support Ticket detailing any problem that you are experiencing within GoRev. This will give GoRev Support Agents access to additional information that will help expedite the resolution of your issue. If you are unsure how to submit an IT Support Ticket in GoRev, please see theIT Support Ticket Creation for assistance.