Verify Coverage Before the Patient Sits Down
Real-time eligibility checks and benefits verification integrated into your registration workflow.
Eligibility errors are a leading cause of claim denials in outpatient care. HealthOS connects directly to payers to verify active coverage, copay amounts, deductibles, and authorization requirements — before the visit begins.
Eligibility match rate
Shared in demo
Denials tied to eligibility
Shared in demo
Front-desk verification time
Shared in demo
Coverage details are verified before service so registration teams collect accurately and billing teams avoid preventable rework.
Product preview shown for evaluation planning conversations. Final production screenshots are shared during implementation.
Real-Time Verification
Instant eligibility checks against hundreds of payers at the point of registration. Results in seconds, not minutes.
Benefits Breakdown
See copay, coinsurance, deductible, and out-of-pocket maximums before rendering services. No post-visit surprises.
Prior Authorization
Check authorization requirements for procedures and track approval status within the platform.
Batch Eligibility
Run scheduled eligibility checks for upcoming appointments. Flag coverage issues before patients arrive.
Coverage Discovery
Automatically discover active insurance plans when patients present without cards or with outdated information.
Denial Analytics
Track eligibility-related denial patterns by payer, location, and procedure. Identify and fix systemic issues.
Key Capabilities
270/271 EDI Transactions
Standards-based eligibility inquiries compatible with all major clearinghouses.
Multi-Payer Support
Single integration covers commercial, Medicare, Medicaid, and workers' comp payers.
Patient Estimates
Generate patient responsibility estimates based on real benefits data before service.
Automated Re-Checks
Eligibility is re-verified automatically when insurance information changes or coverage lapses.
How It Works
Patient Arrives
Front desk scans or enters insurance information during check-in.
Instant Verification
HealthOS queries the payer in real time and returns coverage status, copay, and deductible info.
Flag Issues
Inactive coverage, mismatched demographics, or authorization requirements are flagged immediately.
Collect at Time of Service
Staff collect the correct copay or estimated patient responsibility upfront.
Explore Related Capabilities
HealthOS modules work together to deliver a unified outpatient care platform.
Clinical Workflows
See how eligibility data flows into the clinical encounter and discharge process.
Learn more →Works best withInteroperability
Learn about our clearinghouse integrations and standards-based EDI connections.
Learn more →Works best withUrgent Care
Walk-in eligibility verification at the speed urgent care demands.
Learn more →Works best withMulti-Location Groups
Centralized eligibility management across multiple locations.
Learn more →Continue your evaluation
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