🤖 AI-Powered Insurance Automation

Automate Your Entire Insurance Workflow.

HealOS automates your most time-consuming insurance tasks: eligibility checks, benefit verification, prior authorizations, denial management, and continuous insurance monitoring, so your team works faster, your claims get paid sooner, and your revenue cycle stays clean, accurate, and financially strong.

Insurance Automation for Healthcare

The Problem. The Impact. The HealOS Solution.

Healthcare revenue cycle teams manage some of the most complex, manual, and time-critical workflows in the organization. Insurance automation eliminates the bottlenecks that cause denials, delayed payments, and financial losses.

ChallengeImpactHealOS Insurance Automation Solution
Manual eligibility verificationHigh denial ratesReal-time automated eligibility verification
Complex prior authorizationsSlow treatment & delayed revenueAI-powered authorization automation
Inaccurate benefit checksPatient dissatisfaction & bad debtAutomated benefit verification
Manual denial reviewLost revenueIntelligent denial management
No continuous monitoringSurprise denialsAlways-on insurance monitoring

Proven Results With Insurance Automation

30%
Fewer Denials
Automated eligibility verification catches coverage issues, inactive plans, authorization requirements, and demographic errors before claims are submitted.
80%
Time Savings
Remove hours of manual phone calls, portal lookups, data entry, and paperwork. HealOS automates insurance verification and authorization workflows end-to-end.
20–25%
Faster Payments
Clean, accurate claims submitted on the first attempt lead to faster reimbursements and improved cash flow.
Fully
HIPAA-Compliant
HealOS secures all insurance and patient data with encryption, audit logs, and compliant workflows that support strict RCM requirements.

Use Cases for Insurance Automation

Everything you need to streamline RCM operations, eliminate errors, and accelerate reimbursements.

Eligibility Verification

Eligibility Verification

HealOS automates real-time eligibility verification across all major payers, instantly checking active coverage, copays, deductibles, benefit limits, and authorization requirements. By validating insurance details before the visit, practices eliminate costly eligibility-related denials and ensure every claim is submitted with complete, accurate information.

Prior Authorization Management

Prior Authorization Management

HealOS streamlines the complex authorization process by automatically identifying required authorizations, preparing documentation, submitting requests electronically, and tracking approval status. This automation cuts administrative work, reduces delays in care, and ensures authorizations never expire unnoticed.

Benefit Checking

Benefit Checking

HealOS retrieves accurate benefit details, including coverage limits, out-of-pocket estimates, patient responsibility, and excluded services in seconds. With transparent financial information available upfront, clinics can prevent surprise bills, improve patient trust, and increase point-of-service collections.

Denial Management

Denial Management

HealOS uses AI to analyze denial patterns, identify root causes, and sort denials by priority and complexity. Automated corrections and resubmissions help recover lost revenue faster, while predictive insights flag claims likely to be denied before they're even submitted.

Insurance Monitoring

Insurance Monitoring

HealOS continuously monitors patient insurance data for coverage changes, inactive plans, expirations, and payer updates. By catching issues early, practices prevent downstream denials, reduce rework, and maintain accurate insurance information throughout the patient's care journey.

Key Benefits of Insurance Automation

Transform your revenue cycle with AI-powered insurance automation that reduces costs, improves accuracy, and accelerates cash flow

Financial Benefits

Reduce Claim Denials by Up to 30%

Most insurance denials are preventable. HealOS eliminates denials caused by eligibility errors, missing authorizations, incorrect demographics, and outdated insurance data. Fewer denials = more revenue captured the first time.

Operational Efficiency

Save 80% of Administrative Time

Healthcare teams spend hours navigating insurance portals and waiting on the phone with payers. HealOS automates these steps, freeing your staff for higher-value work like patient engagement and strategic planning.

Financial Benefits

Improve Cash Flow With Faster Payments

HealOS reduces the time it takes for claims to be submitted, processed, and paid. Clean claims get reimbursed faster, improving financial stability and reducing A/R aging.

Patient Experience

Prevent Surprise Bills & Improve Patient Experience

Real-time benefit verification ensures patients understand their financial responsibility upfront. This transparency builds trust, prevents unexpected bills, and increases collection rates.

Operational Efficiency

Eliminate Manual Errors & Improve Accuracy

Manual data entry leads to costly mistakes. HealOS pulls all information directly from payer databases, reducing human error and ensuring compliance with payer requirements.

Integration

Seamless Integration With Existing Systems

HealOS connects with Epic, Cerner, Allscripts, NextGen, Athena, DrChrono, eClinicalWorks, and 150+ healthcare systems. Insurance data, authorizations, and eligibility results sync directly into your EHR and billing workflows.

Why Healthcare Teams Choose HealOS Insurance Automation

🧠

Healthcare-Trained AI

HealOS AI understands complex insurance rules, payer requirements, and RCM workflows. It mimics the expertise of experienced billing teams while operating at machine speed.

🔗

Deep EHR Integration

HealOS integrates with the most widely used healthcare systems to automate documentation, insurance sync, authorization logs, and eligibility results.

🛡️

Enterprise-Level Security

HealOS is fully HIPAA-compliant with encryption, audit logs, access controls, and secure data handling across all insurance workflows.

📈

Built for Scale

Whether you manage 50 or 5,000 verifications per day, HealOS handles high-volume operations without slowing down your revenue cycle.

What Healthcare Teams Say About HealOS Insurance Automation

"HealOS reduced our insurance verification workload by more than half. Claim denials dropped almost immediately, and our revenue cycle is faster and far more predictable."

Rebecca Shaw
Revenue Cycle Manager
Phoenix, AZ

"Prior authorizations were our biggest bottleneck. HealOS automates 90% of the process. Our staff is no longer overwhelmed, and patients get scheduled much faster."

Jason Reed
Clinic Administrator
Charlotte, NC

"Insurance automation improved our cash flow significantly. Payments come in quicker, and denials have decreased noticeably. HealOS has become essential to our RCM workflows."

Dr. Mira Patel
Medical Director
Seattle, WA

Frequently Asked Questions

Everything you need to know about insurance automation

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