Join the Healthcare AI Revolution
Eligibility and Benefits Verification
A real-time system, driven by intelligent AI Agents, confirming patient coverage through robust eligibility and benefits verification, enables upfront checks. This significantly cuts claim denials (a crucial aspect of denial management) by up to 50%, enhancing the financial performance of healthcare revenue cycle management.
Challenges in Eligibility and
Benefits Verification
Denied Claims
Revenue Leakage
Manual Processes
Patient Experience
Our Solution : Comprehensive Insurance and Benefits Validation
Our Insurance and Benefits Validation solution automates and simplifies the verification process, ensuring accuracy and compliance at every step. With real-time connectivity to 1000’s of insurance payers and a user-friendly interface, our system validates patient coverage, co-pays, deductibles, service eligibility upfront – and provides an estimate of liability for the patient for every visit, even before the appointment
Key Features
Real-Time Verification
Instantly confirm patient coverage and benefit details with all major payers.
Automation
Automatically verify eligibility during patient registration and prior to service delivery.
Comprehensive Coverage
Validate insurance for Medicare, Medicaid, commercial and private payers.
Integration
Seamlessly integrate with existing Electronic Health Record (EHR) and Practice Management (PM) .
Compliance
Stay compliant with healthcare regulations such as the Surprise Billing Prevention Act.
Liability Estimator
Get a clear up to date understanding of the patient’s liability for every appointment.
Key Benefits
Boost Revenue
By reducing denials and uncollected payments, your organization can significantly improve its financial health.
Enhance Patient Satisfaction
Increase patient satisfaction by up to 20% by speedy and accurate eligibility and benefits verification.
Reduce Denials
Reduce denials related to eligibility and benefits verification by up to 50%.
Improve Operational Efficiency
Eliminate manual work, freeing up staff to focus on more critical tasks.
Accelerate Payments
Quicker and more accurate verification reduces delays in reimbursement and accelerates cash flow.