Autonomous Eligibility Verification
Instantly verify patient insurance eligibility with zero manual intervention. Our solution integrates with payer systems to fetch coverage details, co-pays, deductibles, and plan-specific benefits, allowing for faster patient onboarding and improved front-desk efficiency.
How It Works
Our AI-powered eligibility verification system works seamlessly to deliver instant insurance verification
Patient Information Capture
Collect patient details from EHR systems, online forms, or manual entry by front desk staff.
Payer System Integration
Connect to insurance payers via APIs or clearinghouses using HIPAA-compliant EDI transactions.
Data Extraction & Processing
Extract and interpret key insurance details including coverage status, plan type, co-pays, and deductibles.
AI-Powered Decisioning
Leverage AI models to identify coverage conflicts, detect missing information, and suggest payment options.
Benefits of Autonomous Eligibility Verification
Our solution delivers significant advantages over traditional verification methods
Zero Manual Effort
Eliminate the need for staff to make phone calls or navigate payer portals, reducing workload and frustration.
Instant Verification
Get real-time eligibility results in seconds instead of minutes or hours, speeding up patient onboarding.
Fewer Claim Denials
Prevent eligibility-related claim denials by verifying coverage before services are rendered.
Better Patient Experience
Provide transparency in costs and coverage at the point of service, improving patient satisfaction.
Seamless Integration
Works with your existing EHR, billing, and scheduling systems with minimal setup required.
Continuous Learning
Our AI improves with every verification, adapting to payer-specific nuances and requirements.
Interactive Dashboard
Our intuitive interface provides real-time insights into patient eligibility status