[ patient access ]

Eligibility verification automation that runs before the visit, not after the denial.

A coverage problem found after the visit turns into a denial. We build eligibility verification automation that checks coverage and prior auth while there is still time to fix them.

02 / what we can buildpieces
[ what we can build ]

Checks that happen before the patient walks in.

Each piece below is something we can build for your patient access team. Pick the ones you need.

  1. 01

    Real-Time Eligibility Checks

    Coverage checked from inside the worklist your team already uses.

  2. 02

    Insurance Discovery

    Finds active coverage when the patient has no card on file.

  3. 03

    Appointment Imports

    Pulls upcoming appointments from your practice management system, so nobody re-keys them.

  4. 04

    Worklists for Exceptions

    The checks that need a person land in one queue, with the reason attached.

  5. 05

    Missing Prior Auth Alerts

    Flags visits with no prior auth on file, before the visit happens.

  6. 06

    Prior Auth Tracking

    Every request and its status in one place, from submission to decision.

03 / how it plugs inschematic
[ how it plugs in ]

Between your schedule and the payers.

We read appointments from your practice management system and check them with payers. Your team sees the results in the tools it already uses.

YOUR SYSTEMS
Practice ManagementAppointments and patient details from the PM system you already run
WHAT WE BUILD, FOR YOU
Eligibility CheckInsurance DiscoveryException QueueAuth-Gap AlertsPrior Auth Tracking+ yours
OUTSIDE WORLD
Payers & PortalsCoverage responses from payers, their portals and your clearinghouse
[ next step ]

Show us where coverage problems slip through.

One working session. You walk us through your intake, we tell you what we'd build and how long it takes.

Book a Working Session