Eligibility you can actually act on.
One confidence-scored answer, checked across more than one source — so a covered patient never comes back 'not covered.'
More than one source, cross-checked
A single eligibility response is often thin or wrong. We run the check across more than one clearinghouse and reconcile the results into one answer with a confidence level — sources agree, high confidence; they don't, we say so.
It catches the benefit the medical check misses
Behavioral-health benefits are often carved out to a separate vendor the standard check never sees. We detect the carve-out, route to the right payer, and read per-service coverage — so treatment-specific coverage isn't mislabeled.
Primary, secondary, tertiary — settled up front
When a patient carries more than one plan, we resolve the payer order before anything is billed and flag conflicts early. Once the primary pays, the secondary claim generates itself with the primary's adjudication attached.
An estimate up front, then the exact number
For some treatments the true patient cost isn't knowable until the claim adjudicates. We surface a confidence-scored estimate before the visit, then the exact figure once it processes — not a false 'covered.'