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Instant coverage verification
Enable fast, reliable access to plan details within provider workflows at the point of care.
Easy access
Provider-initiated query
Initiate benefits verification via voice, SMS, or portal with AI agents that understand requests in natural language and act in real time, eliminating manual lookups.
HIPAA compliant
Provider identity verification
Verify provider NPI/TIN and match member records before retrieving data, ensuring secure access at the point of query.
Core systems integrated
Real-time data retrieval
Retrieve coverage status, copay, coinsurance, and out-of-pocket balance from payer systems of record.
Benefits translated
Payer format normalization
Consolidate responses from multiple payers and translate EDI, portal, and API data into a single, clear benefit summary.
Audit ready
Transaction audit & logging
Log every query with timestamps, provider details, scope, and response in the system of record for compliance and audit.
