Avoid Manual Eligibility Workflows
Eligibility and benefits verification is a time-consuming and error-prone process critical to reimbursement. Staff spend hours on the phone and on payer portals trying to verify incomplete, inaccurate, or expired benefits, risking denials or write-offs that can ultimately impact a provider’s reimbursement.
Reduce Eligibility Denials with Technology-Driven Solutions
Our eligibility and benefits solution streamlines the pre-service financial clearance process, reducing denials and revenue loss for healthcare providers. With the power of AI, automation, and payer integration, we help you accelerate financial clearance while improving accuracy resulting in fewer denials.

AI/ML
Execution

Benefits
Automation

Payer
Integration

ELIGIBILITY + BENEFITS
Eliminate Eligibility Errors That Cost You And Your Patient
Our eligibility and benefits solution combines payer automation and patient access expertise to provide you with the patient’s complete coverage details.
- Determine benefits accurately
- Gain real-time access and approval
- Reduce denials
- Stop Medicare plan guessing
Gain instant, accurate access to procedure coverage, co-pays, and co-insurance information.

INSURANCE DISCOVERY
Uncover Hidden Coverage and Avoid Patient Surprise Bills
Our insurance discovery tool uses machine learning, deep data mining, and probabilistic analytics to identify undisclosed coverage for your patients.
- Discover unrealized benefits
- Mitigate risk of non-payment
- Improve patient satisfaction
Your practice gains higher reimbursement and reduces write-offs. Your patients get the treatment they need and avoid unnecessary bills.

PATIENT PAY ESTIMATES
Give Patients A Complete Financial Picture
Our Patient Pay Estimates solution helps educate patients on their financial responsibility for care and treatment plans.
- Educate patients before delivering service
- Establish payment plans as needed
- Increase cash flow and decrease collections
You’ll see more payments, more cash flow, and fewer collections with a complete financial picture.
Millions Of Transactions Processed Annually
Our cutting-edge machine learning technology and certified specialists learn from millions of transactions processed for leading healthcare providers and 1000+ payers across the United States.
2M+
Benefits Verified
$2B+
Revenue Collected
5M+
Patients Served
Extensive Experience With Most Systems
We are able to integrate with most electronic health/medical records (EHR/EMR) systems with APIs, HL7, FHIR, X12, or EMR Developer Programs.
Lean on Easy Eligibility Workflows
Our streamlined, four-step process ensures you get the eligibility and benefits you need to clear patients quickly, reducing scheduling time.

Stay Current on Eligibility and Benefits Best Practices
We spend time creating helpful content to help streamline revenue cycle workflows at your organization. If you are looking for content on a particular subject matter, feel free to reach out to us.
You Asked, We Answered
Curious if our eligibility solution will meet your needs? Here are the most common questions your peers ask when evaluating our eligibility and benefits solution.
Accelerate Eligibility and Achieve
We help not only help improve eligibility but also impact your organization’s revenue.

Lower Costs
35% lower cost versus manually managing eligibility and benefits checks.

More Covered Patients
Find coverage for more than 30% of patients who had identified themselves as self-pay.

Reduced Denials
Avoid the 2% denials that usually occur due to eligibility and benefits.