💳Insurance & Authorization
Automated FHIR Coverage Verification & Prior Auth Orchestration
Agent Active
🔍
Eligibility Checks
Real-time FHIR queries to determine active coverage, deductibles, and co-pays instantly.
> FHIR_COVERAGE_READY
🔐
Prior Authorization
Automated detection of CPT codes requiring auth, triggering dynamic submission workflows.
> CPT_RULES_SYNCED
💰
Claims & Billing
Coordination of benefits processing and out-of-pocket estimations for patient transparency.
> ESTIMATOR_ONLINE
Recent Verifications
| Patient ID | Payer | Request Type | Status | Action |
|---|---|---|---|---|
| PAT-8X9L2 | Blue Cross Shield | Prior Auth (MRI) | Pending | |
| PAT-4M1K9 | Medicare Part B | Eligibility | Active | |
| PAT-7Y2P4 | Aetna PPO | Eligibility | Denied |