Example data. Benefits shown are what the insurer returns for the patient’s plan.
Eligibility checks run live against 1,268 payers across all 50 states: national commercial plans, Blue Cross Blue Shield plans, Medicare and Medicare Advantage, Medicaid managed care, Tricare, and dental and vision carriers.
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When a card arrives by text or email, the AI reads the insurer, member ID and group number and runs the check on its own. Nobody retypes a thing or logs into a portal.
Every check is a real-time eligibility request to the payer, so you know whether the plan is active today, not just what the card says.
Copay, coinsurance, deductible left and out-of-pocket left, plus the plan name and when coverage started.
A patient texts or emails a photo of the front or back of their card, or types their member ID on your online booking page.
It matches the carrier to the right payer, adds the patient's date of birth and your NPI, and sends the eligibility request. A card sent twice is only checked once.
Active or inactive, with copay, deductible and out-of-pocket, right on the message in your inbox or as a note on the patient's record.
Yes. Each check is a real-time electronic eligibility request (the standard 270/271 inquiry) sent to the patient's insurer through our clearinghouse connection. What you see is the insurer's own answer, not a guess from the card.
Whether the plan is active, the plan name and start date, member ID and group, plus the copay, coinsurance, deductible left and out-of-pocket left for the patient's in-network benefits, when the insurer reports them.
Nothing is guessed. If the AI can't match the carrier to an insurer with confidence, or the date of birth is missing, the check waits and your team gets a short form to confirm the insurer, member ID or birth date and run it again.
No. Results are for your team. They show on the message in your inbox, or as a note on the patient's record when the member ID came from your booking page.
Not during the call. On the phone, your AI front desk tells callers which carriers you accept and which services are usually self-pay. The benefits check runs when the card photo or member ID comes in.
Your practice NPI, or an NPI on each provider's profile if you bill under individual providers. A few insurers ask for a one-time enrollment before they answer eligibility requests, and you can send that request from the dashboard.
