insurance eligibility verification

Insurance verified before the patient walks in.

Every night the agents pull tomorrow’s schedule and run eligibility on every patient — vision and medical. You walk in to one screen: everything green is ready, and the one red row is your whole to-do list.

← all the agents
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Staff dashboard

Reading the week ahead…

The week ahead · insurance

Verified overnight · medical + vision

11 of 12 verified
9:00 AMML

Maria Lopez

Comprehensive exam · VSP

9:30 AMDC

David Chen

Medical + routine exam · Aetna · VSP

10:30 AMAK

Aisha Khan

Comprehensive exam · Medicare

12:00 PMRD

Robert Diaz

Follow-up · Aetna

2:00 PMLP

Linda Park

Comprehensive exam · VSP

Select a patient to view insurance details

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the daytime version

Verifications eat your morning.

Front desks spend hours logging into portal after portal, checking benefits one patient at a time — usually the morning of, often while the patient stands at the counter. Miss one and you’re eating the cost or chasing the patient for weeks.

how it works

Runs while you sleep. Done before you arrive.

step 01

Pull the schedule

Every night the agents pull tomorrow’s appointments straight from RevolutionEHR. No list to export, nothing to remember.

step 02

Run eligibility

Vision and medical, every patient — copays, allowances, deductibles, authorizations. The same checks your staff does, at 2 am, in minutes.

step 03

File it back

A full benefit summary PDF lands in each patient’s chart before sunrise. Anything that didn’t verify is flagged with a task for your staff.

the morning screen

Your team walks in to one screen.

Eleven green dots, benefits already in every chart. The one patient the run couldn’t verify sits at the top in red — with a task and everything the agents found, so the call takes two minutes instead of becoming a surprise at the counter.

8:02 am · coffee still hot

Today · 12 patients

11 ready · 1 needs you

9:00Maria L.Medicareneeds a human — task created
8:40Sarah M.VSP Choice$15 copay · $130 frames
9:20Robert C.EyeMed$10 copay · contacts covered
10:00James P.Aetna$0 of $1,150 deductible met
+ 8 more · all ready

✓ benefit PDF attached to every chart

what gets checked

The whole benefit. Not just “active.”

Vision plans — VSP, EyeMed, Davis Vision, Spectera — come back with the numbers your optical actually quotes from: exam copay, frame allowance, contact lens allowance, when benefits reset.

Medical runs too. Aetna, Medicare, UHC, Cigna, BCBS — checked through Stedi’s clearinghouse network for copays, deductible progress, and out-of-pocket remaining.

unlimited checks · no per-verification fee

See the full list of plans →

VSP Choice · Sarah M.

benefit summary

Member
Sarah M. · ID on file
Authorization
issued · on file
Exam copay
$15
Frame allowance
$130
Contact lens allowance
$130 (in lieu of frames)
Benefits reset
Jan 1

filed to RevolutionEHR · 2:14 am

When it’s not sure

A good colleague knows when to ask for help.

If the run can’t confirm a patient — no record on file, a plan it doesn’t recognize, a name that doesn’t match — it never guesses. The row goes amber and a task lands on your staff’s list with everything the agents found. The other eleven stay green. You only ever touch the exceptions.

where it fits

Live once recall is running.

Verification goes live after your recall campaign is running — once your EHR integration is in place, the nightly runs start automatically. Intake forms switch on alongside it.

  1. 1Week 1–2

    Foundation & SOP

    We get into a shared chat with your team, pull your call recordings, and build a custom SOP — services, providers, insurance rules. You edit it, we refine, you sign off.

    Learn more
  2. 2Week 3

    Marketing recall

    The first workflow to go live. We pull lapsed patients, re-verify their benefits, and launch a recall campaign — booking exams on reply.

    Learn more
  3. 3Week 4–5

    Verification & intake

    Nightly insurance verification starts running. Intake forms go out before visits and verify insurance the moment a patient submits.

    You are here

  4. 4Week 6–8

    Pickups, then calls

    Order-pickup texts switch on. Then the call agent — the hardest, highest-touch piece — goes live after-hours first, and we fine-tune it to full coverage.

    Learn more
See all five agents →

Walk in to a verified schedule.

HIPAA-compliantBAA providedyour data stays in your systems

the run starts tonight