Patient Intake Pipeline

Verify insurance eligibility in real-time, collect copays, and clear patients for clinical encounters.

Autonomous Receptionist Engine

Live X12 270/271 Eligibility Validation via Clearinghouse

Availity EDIFHIR R4
SJ

Sarah Johnson

Scheduled: Today @ 2:30 PM (Follow-up)

Check-In Required

Patient has arrived. System requires insurance eligibility validation before rendering services.

zeta-engine@receptionist: ~/x12/stream

Waiting for workflow trigger...

Denial Prevention

60% of claims are denied due to lack of coverage. The Availity X12 270/271 sequence eliminates this risk before the provider ever sees the patient.

Cash Flow Secured

By detecting exact copays and deductibles instantly, front-desk staff collect patient responsibility upfront—boosting collection rates to 85%+.

Prior-Auth Auto-Detection

If an X12 271 response indicates an upcoming procedure requires authorization (X12 278), the platform automatically queues the request.