AI AGENT
Automate Waveland Verifications And Prevent Claim Denials
Verifying eligibility and benefits (EVB) manually through portals or clearinghouses is slow, inconsistent, and prone to error. Infinx removes this burden with a direct API connection to Waveland. Our agents retrieve eligibility and benefit information in real time, delivering structured data directly into your workflow without portal navigation or manual intervention.
Our Patient Access Plus platform manages API transactions with Waveland, while agents parse, normalize, and interpret payer responses. It delivers complete eligibility and benefit details, including coverage status, copay, coinsurance, deductibles, visit limits, and prior authorization indicators. This helps your staff financially clear patients quickly and accurately.
Because Waveland connects to a wide range of payers, response formats can vary. Our AI agents adapt by interpreting these payer-specific differences, normalizing the data, and surfacing requirements relevant to the service. If an API response is incomplete, fallback logic automatically routes the case to our expert specialists, who complete the verification and close the loop.
EASY waveland ELIGIBILITY AND BENEFITS VERIFICATION
Submit Eligibility Verifications to Waveland from your EMR
Get instant, accurate EVB results from Waveland delivered directly into your EMR, PMS, or our platform. Manual Waveland verifications slow workflows and increase the risk of claim denials. With our AI and automation agents, you can:
- Check eligibility in seconds: Instantly confirm plan-level and procedure-level coverage across payers connected through Waveland’s API.
- See cost details in advance: View copay, coinsurance, and deductible before care is delivered.
- Avoid costly claim denials: Identify and flag eligibility gaps or missing requirements before claims are submitted.
- Improve patient communication: Share clear coverage and benefit details before care.
Patient Access Plus integrates seamlessly with your existing systems to deliver real-time eligibility and benefit data through Waveland, helping your team work faster, reduce errors, and keep patients informed.
HOW IT WORKS
A fully automated solution for verifying eligibility and benefits through Waveland
Once patient and service information is submitted, our agents complete the verification process through Waveland. Here’s how it works:
Patient Access Plus triggers the eligibility agent
When patient and service information is submitted, the automation agent connects to Waveland’s API to initiate eligibility verification.
The agent parses and organizes benefit details
The agent extracts payer-specific benefit data such as coverage status, deductible, copay, coinsurance, visit limits, and prior authorization indicators. It normalizes Waveland’s multi-payer responses into a structured, easy-to-read format.
The agent identifies and flags errors
If errors are found in patient registration or if benefit responses are incomplete, the agent flags them for correction before the claim is submitted.
Instant system update with specialist fallback
If Waveland returns incomplete or incorrect data, the agent routes the case to our expert specialists, who complete the verification and close the loop.
Verified eligibility and benefits in your system
All confirmed information is delivered to a centralized dashboard accessible to schedulers, front desk, or billing staff.
Ready to automate eligibility and benefits verification with Waveland?
With our eligibility agents, you can eliminate manual portal checks. Submit verifications directly from your EMR or our platform, reduce administrative workload, and ensure accurate eligibility and benefit information in real time.
