AI Agent · Real-time, pre-visit
AI Agent · Real-time, pre-visitAI Eligibility Verification: purpose-built for U.S. healthcare RCM.
Verifies coverage, copay, and benefits in the background before patient arrival. The AI Eligibility Verification agent runs with human-in-the-loop supervision, payer-specific rule logic, and full HIPAA compliance, integrating with Epic, Cerner, athenahealth, eClinicalWorks, NextGen, and 50+ other EHRs.
How AI Eligibility Verification works.
- 1
Listens to your workflow inputs (EHR, payer portal, voice, document)
- 2
Applies specialty + payer rule logic to draft the next action
- 3
Senior human RCM operator reviews any escalation or low-confidence case
- 4
Closes the loop and posts results back to your EHR/PMS dashboard
Frequently asked about AI Eligibility Verification.
Verifies coverage, copay, and benefits in the background before patient arrival. It runs continuously across your revenue cycle workflow with senior human RCM operators reviewing every escalation.
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- 30-day parallel-run guarantee
- Targets written into the contract
- HIPAA · SOC 2 Type II · HITRUST