Automate Insurance Processes & Enhance Patient Care

Quickly determines whether a patient's treatment or procedure is covered under their active insurance policy. By integrating with insurance provider APIs or uploaded documents, it eliminates the need for manual checks, enabling faster admissions and reducing stress for both staff and patients.

Digitizes the end-to-end claims process — from initial claim submission, document collection, verification, to final payout tracking — minimizing manual errors and speeding up processing times.

This feature ensures that all required medical documents are collected and submitted to initiate a pre-auth request. It also follows up with insurers or TPAs, notifies patients or admin staff about the approval status, and minimizes treatment delays.

Handles uploaded photos or scans of insurance cards, discharge summaries, or ID proofs. It extracts and verifies data to auto-fill forms, reducing manual data entry and speeding up the workflow with higher accuracy.

Uses AI algorithms to identify fraudulent claims and high-risk cases by cross-referencing historical data patterns, reducing overall losses.

Connects easily with your existing IT ecosystem, ensuring fast adoption and minimal disruption.

Calculates estimated out-of-pocket costs based on insurance plans. Educates patients on their coverage, deductibles, copays, coinsurance, and payment options. Helps improve upfront collections and reduce bad debt for providers.

Uses Retrieval-Augmented Generation (RAG) to fetch dynamic knowledge from payer policy documents, coverage manuals, and claims processing guidelines. Provides contextual AI responses instead of relying on static models — reducing wrong interpretations.

Build insurance workflows (like multi-payer verification, dual insurance claims, retro authorization) without coding. Set conditional branches, alerts, auto-escalations using simple drag-and-drop interfaces. Perfect for adapting the AI agent to your specific billing rules and operational nuances.