CaseFlow | National Spine & Pain Centers — CEO Doug Wisor

Doug, NSPC processes ~1M patient visits/year.
Here's what's leaking revenue
at scale.

WC/auto-PI case mix, prior-auth denial loops, and fluoro-suite utilization gaps — quantified for a 120+ center network. The math is brutal and fixable.

Three leaks compounding across your network

WC/Auto/PI is your highest-volume leak — and the hardest to chase.

NSPC case mix is ~40% WC/auto/PI — highest of any pain platform nationally
Average WC adjuster response delay: 8–12 days → revenue in limbo
Auto-triggered adjuster chase cadence at T-5 non-response
120 centers × ~50 WC cases/month × avg $1,800 lien × 18% lapse rate = ~$1.9M/yr

See WC/Auto Tracker →

Interventional pain = highest first-pass denial rate in outpatient medicine.

~35% first-pass denial rate on ESI, RFA, and spinal cord stimulator procedures
CaseFlow auto-chases payer at T-7 days before procedure date
Slot reopens immediately on denial — patients don't fall through
120 centers × 200 procedures/month × $850 avg revenue × 8% denied = ~$1.96M/yr

See Pre-Auth Tracker →

Every dark fluoro slot is $533–$800 in direct margin you're leaving on the table.

Pain management fluoro suites run 6–8 procedures/hour, fully loaded $3,200–$4,800/hr
15-min blocks × cancellation = $533–$800 per missed slot
120 centers × 2 fluoro suites × 1 dark slot/day × $650 avg = ~$56.8M/yr in dark time
Cancellation Prediction scores every case daily; Same-Day Add-On Readiness fires SMS blast the moment a slot opens

See Fluoro-Suite Fill →

85-Center Network View (blurred/anonymized for preview)

Every center. One view.

Prior-auth approval rate by location. WC adjuster response time by state. RFA/SCS conversion funnel. Lien aging by payor.

Multi-state rollup dashboard Center benchmarking Board-pack PDF export Anonymized for investor reporting PE/operator view

See Network Dashboard →

Platform Capabilities for Multi-State Pain Platforms

Built for 100+ center pain networks — not solo practices

WC/Auto Lien Tracker

Auto-chase adjuster at T-5 non-response. Lien aging by payor — 30/60/90/120+ day buckets. Network-wide visibility across all centers.

Prior-Auth Denial Recovery

T-7 day payer chase. Slot reopens immediately on denial. Approval rate by center flags payer relationship issues.

Fluoro-Suite Slot Fill Engine

Cancellation Prediction scores every case daily. Same-Day Add-On Readiness fires SMS blast to waitlist the moment a slot opens.

Or skip the demo

Start the $49 pilot — 30 days, full access, no annual commitment.

Full Solo features from day one. Auto-upgrades to $149/mo on day 31 unless you cancel — no questions.

$49 now · $149/mo on day 31 · cancel anytime in week 1

Doug, NSPC processes ~1M patient visits/year. Here's what's leaking revenue at scale.