Verify eligibility, coverage, and benefits in real time, right inside your documentation workflow. Reduce denials, prevent errors, and accelerate reimbursement with automated benefit checking.
Manual insurance verification is slow, error-prone, and causes claim denials. Coverage issues, inactive plans, and policy mismatches go undetected until after claims are submitted, leading to costly rework and delayed payments.
| Challenge | Impact | HealOS Solution |
|---|---|---|
| Manual eligibility checks | Time-consuming, delays | Real-time automated verification |
| Coverage issues missed | Claim denials, rejections | Early detection & alerts |
| Inactive plans not caught | Lost revenue, rework | Continuous verification monitoring |
| Policy mismatches | Downstream claim denials | Automated policy validation |
| Manual benefit extraction | Administrative burden | AI-driven benefit breakdown |
HealOS delivers fast, accurate benefit checking that helps practices improve financial performance and patient care.
Automate eligibility checks, benefit extraction, and real-time insurance monitoring with AI that delivers accurate coverage data during every patient encounter.
HealOS listens to the clinical encounter while automatically checking insurance status in real time. This voice-activated AI removes manual tasks and speeds up documentation and verification workflows.
Eligibility checks run automatically while your provider speaks. Coverage data, plan details, and patient cost obligations are captured instantly inside the clinical note.
HealOS connects to major EHRs and payer portals like Availity and Waystar to extract active coverage, plan details, and cost-sharing information directly into your workflow.
The AI scribe generates compliant, structured clinical notes while simultaneously applying payer rules, coverage restrictions, and benefit details for accurate documentation.
HealOS retrieves copays, deductibles, coinsurance, out-of-pocket limits, authorization needs, and referral requirements in seconds and embeds them into the clinical record.
Eligibility results automatically inform coding and billing teams, ensuring claims are submitted cleanly with correct coverage information and fewer downstream edits.
Instantly confirm coverage before exams, labs, and preventive care while reducing administrative workload and eliminating billing friction.
Identify prior authorization requirements and high-risk coverage issues for orthopedics, cardiology, GI, neurology, and behavioral health.
Automate insurance verification across multiple clinicians with unified standards, consistent documentation, and centralized reporting.
Verified coverage is automatically embedded in clinical notes, supporting accurate coding, compliant documentation, and cleaner claims.
HealOS eliminates the administrative burden of benefit checks, phone calls, and portal lookups while speeding up documentation by 95%.
Secure data handling, encryption, access controls, and full audit logs ensure compliance with all insurance and clinical data regulations.
HealOS captures patient conversations, documents the encounter, and verifies benefits simultaneously, creating a truly hands-free workflow.
HealOS scans insurance cards, EHR details, and patient demographics using OCR + machine intelligence to identify payer, plan type, and policy data instantly.
The system queries payer portals, APIs, or clearinghouses to verify active coverage, restrictions, plan status, and cost-sharing requirements automatically.
Copays, deductibles, coinsurance, network status, and authorization requirements are pulled and structured into a readable, actionable format for your providers.
Verified benefit data is inserted into clinical notes, coding guidance, and visit documentation to ensure accuracy and compliance.
Inactive plans, mismatched policy numbers, expired benefits, and authorization requirements trigger real-time alerts to prevent denials before they occur.
Verified insurance details flow directly into claims, coding, and billing pipelines, ensuring clean submissions and faster payment cycles.
As a YC-backed healthcare automation platform, HealOS is trusted by 1,000+ providers for real-time documentation, verification, and RCM optimization.
AI scribing, eligibility checking, coding support, and payer compliance all in a single workflow built for modern clinical operations.
Epic, Cerner, Athenahealth, eClinicalWorks, DrChrono, NextGen, and more are all fully supported with zero workflow disruption.
"HealOS transformed our workflow. Insurance verification happens automatically while I'm with patients. Denials dropped by 20%, and I'm saving hours every week. The real-time coverage alerts prevent issues before they become problems."
"We used to have staff dedicated to eligibility checks. HealOS eliminated that need entirely. The system catches inactive plans and coverage issues instantly, and our clean-claim rate improved dramatically. ROI was immediate."
"Prior authorization requirements are identified automatically during documentation. No more surprises after the fact. HealOS has reduced our administrative burden significantly while improving accuracy. It's a game-changer."
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