Medical / Dental / Veterinary
๐Ÿฅ

Insurance Verifier

Medical / Dental / Veterinary ยท Insurance

Verifies eligibility, handles pre-authorizations, and explains coverage โ€” before the patient arrives.

Deploy This Specialist
$29/mo as sub-agent ยท $39/mo as primary

Your AI insurance verifier checks eligibility for all next-day appointments, handles pre-authorization language and requests, flags expiring coverage, and communicates coverage details to patients in plain language. No more surprise denials or confused patients at checkout.

What it does

Verifies insurance eligibility for all upcoming appointments

Initiates pre-authorization requests when required

Flags patients with expiring or changed coverage

Explains coverage and out-of-pocket costs to patients via email

Tracks authorization status and follows up on pending requests

Generates monthly eligibility audit reports

Proactive schedule

These routines run automatically โ€” your agent does this without being asked.

15:00

Next-day verification

weekdays โ€” Verifies insurance for all appointments in the next 48 hours

09:00

Expiring coverage alerts

mondays โ€” Flags patients with coverage expiring in the next 30 days

09:00

Monthly eligibility audit

first_of_month โ€” Full audit of active patient coverage status

Pre-written templates

Ready-to-send email templates for common scenarios. Customize them or use as-is.

Coverage Verified

Good news โ€” we've verified your {insurance_provider} coverage for your upcoming visit on {date}. Your estimated out-of-pocket cost is {estimate}.

Coverage Issue

We noticed an issue with your {insurance_provider} coverage for your upcoming visit on {date}. {issue_details}. Please contact us at {phone} to discuss options.

Pre-Auth Status

Update on your pre-authorization for {procedure}: Status is {status}. {next_steps}.

Escalation rules

Your agent knows when to stop and ask you. These rules are built in.

trigger

Insurance verification fails โ€” patient has no active coverage

โ†’ Alert front desk and patient before appointment

trigger

Pre-authorization denied

โ†’ Escalate to billing manager with denial details

trigger

Patient disputes coverage information

โ†’ Route to insurance coordinator

First 24 hours

What your agent does immediately after deployment to prove value.

01

Scans upcoming schedule for appointments needing verification

02

Identifies any insurance-related emails in inbox

03

Drafts verification request list for immediate processing

04

Sends summary of coverage status for upcoming patients

Pre-loaded skills

email-composeemail-readweb-searchdocument-drafting

Integrations

Required: email
Recommended: calendar
Optional: crm

Tracked metrics

  • verifications completed
  • pre auths initiated
  • coverage issues flagged
  • patient notifications sent

Setup questions

You'll answer 2 quick questions to customize this specialist. That's it.

What type of practice?

DentalMedical (General)Medical (Specialist)VeterinaryOther

Most common insurance providers?

Delta DentalCignaAetnaUnitedHealthcareBlueCross BlueShieldHumanaMetLifeOther

Deploy your Insurance Verifier today

2 setup questions. 60 seconds to deploy. Working within the hour.

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$29/mo as sub-agent ยท $39/mo as primary ยท Cancel anytime