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Insurance Automation

Verify coverage instantly.
Eliminate denials.

Automated insurance eligibility checks, benefits validation, and coverage discovery — so you know exactly what's covered before you admit.

insurance-engine.medfloai.com

Eligibility Check — Incoming Referral

Coverage StatusActive
Plan TypeDetected
SNF BenefitsAvailable
Prior AuthRequired
Secondary CoverageFound

Benefits Summary

SNF Days Remaining
Coinsurance Period
Deductible Met
Eligible for admission — prior auth flagged
Capabilities

Complete insurance intelligence — from eligibility to benefits to authorization.

Real-Time Eligibility Checks

Instantly verify patient insurance eligibility against major payers the moment a referral comes in.

Benefits Validation

Automatically pull coverage details, copays, deductibles, and remaining benefits — no phone calls needed.

Payer-Specific Rules Engine

Built-in logic for each payer's unique requirements — authorization rules, pre-cert needs, and coverage limits.

Claim Denial Prevention

Catch coverage gaps and missing authorizations before admission — significantly reducing downstream denials.

Multi-Payer Coverage Discovery

Identify secondary and tertiary coverage automatically — uncover benefits your team might miss.

Verification History & Audit Trail

Every check is logged with timestamps and results — fully searchable and ready for any audit.

Why It Matters

Automated verification that protects your revenue cycle from day one

Fewer

Claim denials

Instant

Eligibility checks

All payers

Supported

Automated

Benefits validation

Stop losing revenue to coverage gaps

See how automated insurance verification catches issues before they become denials.

Request a demo
HIPAA CompliantEncryptedHL7 FHIR