Prevent Denials Before They Happen
Our AI-powered platform automates financial clearance, verifying eligibility and benefits with 99%+ accuracy. Ensure every patient is cleared before service to maximize revenue and enhance patient trust.
The Front-End Is The New Back-End
Up to 50% of all claim denials originate from front-end errors. Manual eligibility checks, complex payer rules, and missed prior authorizations create a cascade of costly problems that your back-end team is forced to clean up.
This traditional approach is broken:
- Repetitive Manual Work: Staff spends hours every day on hold with payers or navigating dozens of slow web portals.
- High Error Rates: Inaccurate or incomplete data leads directly to preventable denials, rework, and write-offs.
- Poor Patient Experience: Patients are frustrated by long wait times, surprise bills, and a lack of financial transparency.
- Revenue Leakage: Denials, combined with missed point-of-service collections, represent a significant and unnecessary drain on your margins.
Introducing Intelligent Financial Clearance
Transform your patient access department from a manual cost center into an automated, strategic asset. Our platform integrates with your EMR/PM system and uses AI and various automation tools to build a proactive financial safety net.
We don't just check eligibility; we achieve total financial clearance by:
- Verifying Coverage in Real-Time: AI bots connect to hundreds of commercial and government payer portals to get the most accurate, detailed coverage information available.
- Discovering Hidden Benefits: We go beyond "active" or "inactive" to find deductibles, out-of-pocket maximums, and co-insurance details.
- Flagging Authorization Requirements: Our rules engine automatically identifies procedures that require prior authorization, alerting your team before the patient arrives.
Your Path to Clean Claims, Every Time
- Automated Worklist Creation: Our AI engine pulls your patient schedule directly from your EMR, automatically creating a prioritized clearance worklist.
- Intelligent Verification: AI bots work 24/7, querying payer portals to retrieve detailed eligibility, benefits, and authorization status for every patient.
- Exception-Based Management: "Clean" accounts are cleared automatically. Only accounts with issues (e.g., coverage not found, high deductible, auth needed) are routed to your staff in a simple, actionable dashboard.
Proactive Prior Authorization Management
Our intelligent rules engine flags procedures that are likely to require prior authorization based on CPT code and payer-specific rules.
- Auth Requirement Flagging: Alerts your team well in advance of the date of service.
- Status Checks: AI bots can automatically check the status of submitted authorizations.
- Reduced Auth-Related Denials: Proactively secure authorizations to prevent near-certain denials.
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