
Agentic Intelligence for Benefits Verification
Confidence in coverage starts with consistency in verification.
Verify coverage, maximize reimbursements.

Verity starts by checking if insurance information is present in the patient's records, including member ID & provider details. If any crucial information is missing, Verity automatically notifies the intake team.

When member ID isn't available, Verity automatically searches across insurance databases to find active coverage. Verity checks multiple sources including Medicare and Medicaid to ensure no coverage is missed.

Verity verifies insurance coverage in real-time, checking if the specific services are covered under the patient's plan. This includes confirming the provider network status and service type coverage.

Verity generates a comprehensive benefits summary showing copays, deductibles, out-of-pocket maximums, and covered services. If multiple insurance policies are found, Verity flags this for proper coordination of benefits.
Your Solution for High-Volume Insurance Verification
| Voice Portal Navigation | Automated insurance verification via direct payer phone calls, handling IVR systems and multi-factor authentication |
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| Parallel Processing Engine | Simultaneous multi-patient verification across payers, scaling to enterprise volumes |
| Universal Portal Integration | Single interface for all major payer portals with automated credential management |
| Adaptive Learning System | Self-improving verification workflows that adapt to payer portal changes and rule updates |
| Secure Authentication | Automated handling of complex login flows including One Healthcare ID and ID.me with 2FA support |
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| Real-time Data Extraction | Sub-second benefit extraction from portal interfaces with >99% accuracy |
| Intelligent Error Prevention | Proactive coverage validation and missing information detection before claim submission |
| HIPAA-Compliant Architecture | End-to-end encryption and secure credential management |
| Resource Optimization | 90% reduction in manual verification time with automated portal navigation |
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| Quality Assurance | Near-zero error rates in benefit verification through automated data validation |
| Volume Scaling | Linear performance scaling from 100 to 100,000+ verifications/day |
| ROI Metrics | Real-time dashboard tracking verification success rates, processing times, and cost savings |
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