Check patient eligibility, remaining benefits, and obtain letters of guarantee instantly at registration, before any service begins.
Real-time checks eliminate payment surprises for patients and financial risk for providers.
Know exactly what's covered and remaining benefits before patient sees clinician.
Check active coverage, remaining limits, co-pay amounts, and exclusions in seconds.
Request and receive pre-authorization electronically with automatic tracking and expiry alerts.
From patient check-in to coverage confirmation with automatic benefit calculation throughout.
Works for individual insurance, corporate panels, government schemes, employee benefits, and integrated care networks.
Instant check of active coverage, policy status, and member validity at registration.
Visual dashboard showing used and available limits for consultations, procedures, medications, and diagnostics.
Preview coverage for planned treatments based on diagnosis and procedure codes before service.
Electronic pre-authorization request and approval with automatic tracking and validity monitoring.
Handle patients with multiple insurance policies with coordination of benefits logic.
Automatic calculation of patient responsibility based on plan rules and deductibles.
Immediate flags for non-covered services, pre-existing conditions, and waiting periods.
Real-time monitoring of annual caps, lifetime maximums, and per-visit limits across categories.
Automatic validation of family member eligibility with relationship and age checks.
Check employee eligibility for corporate schemes with company code and employment status.
Apply waiting periods and exclusions for chronic conditions based on policy terms.
Verify coverage on mobile devices for home visits and satellite clinic operations.