95%+
Reduction in insurance verification time
Healthcare Case Study
Insurance Eligibility in Seconds
Meet the AI agent replacing 5-day waits with 5-minute validations.
The Medical Insurance Validation Agent checks eligibility, validates codes, and confirms coverage in real time.
2.5x
Improvement in validation accuracy
70%
Less admin burden for eligibility checks
Challenge
The bottleneck
Manual insurance verification slows surgeries, patient experience, and care delivery as teams juggle portals, changing rules, and paperwork.
Solution
Faster approvals, smarter care delivery
The agent reads policy documents, validates CPT and ICD codes, syncs with payer portals, and flags non-compliant claims in real time.
How it works
From workflow pain to automated execution
01
Code-based eligibility checks
Validates CPT codes, ICD codes, pre-authorization requirements, and plan-specific criteria.
02
Policy document intelligence
Standardizes policy language across providers and detects exclusions or caveats.
03
Always up to date
Ingests policy updates and adjusts validation logic as payer rules evolve.
04
Real-time portal sync
Pulls live eligibility and coverage data from payer platforms at scale.
Why it matters
- Faster scheduling and better patient experience
- Reduced denials due to policy mismatches
- Real-time clarity without administrative delays
- Lower burnout and more scalable operations