PreClaim for Interventional Pain Management
Interventional pain practices face the highest denial rates in ambulatory care. Now WISeR adds mandatory PA on top. PreClaim was built for exactly this moment.
Why pain management is the hardest hit
Conservative care ladder is long
Every interventional procedure requires documented evidence of failed conservative treatments — PT, medications, injections. Miss one step and the claim is denied, regardless of medical necessity.
Multiple payer policies per procedure
A lumbar ESI has different evidence requirements for Medicare FFS vs. Aetna vs. UHC. Your team manages 5-8 payer-specific rule sets per procedure code.
WISeR changes everything
17 of your most common procedures now require PA for Medicare FFS. This is new as of January 2026. Your existing workflows don't account for it.
High-value procedures, high-cost denials
SCS trials ($8,400), permanent implants ($14,200), and RFA ($2,100) are among the highest-reimbursement ambulatory procedures. Each denial hits hard.
What PreClaim does for your pain practice
Pulls patient's full conservative care history automatically — PT records, medication history, prior injections, imaging
Matches evidence against the specific payer's LCD requirements for that procedure + diagnosis combination
Shows your coordinator exactly what's missing in a color-coded scorecard — before the patient walks in
Fills remaining gaps via targeted patient outreach (voice, form, or staff) — only the missing items
Assembles WISeR-compliant PA packages with all required documentation pre-attached
Tracks your gold card pathway — maintain ≥90% approval rate to earn PA exemption
Provides CatSol coordinator backup for peer-to-peer reviews and complex edge cases
See your practice's denial exposure — free.
Upload your 835 data. We'll show you exactly which pain management denials are preventable, your WISeR exposure, and the projected dollar impact.
Free Denial Audit for Pain Practices