Eligibility Verification Agent

Instant coverage verification. Fewer denials. Faster intake. Stronger cash flow.

Accurate insurance verification is the foundation of a healthy revenue cycle. ImpactRCM’s AI Eligibility Agent performs real-time verification across payers, ensuring every patient is validated before service is delivered. It eliminates manual lookups, reduces front-end errors, and prevents avoidable claim denials.

Built to Support Hospitals, Practices & Billing Companies

The Eligibility AI Agent is designed for hospitals, physician practices, ambulatory centers, and billing companies that manage high patient volumes and complex insurance workflows. It’s ideal for teams dealing with manual verification, front-desk bottlenecks, or high denial rates due to eligibility issues. Whether you operate a single clinic or a multi-location health system, it adapts to your EHR and operational needs.

What It Does

How It Helps You

Features

Eligibility AI Agent verifies coverage and benefits in real time and syncs results back to your system. It removes manual work and prevents eligibility denials.

Real-Time Eligibility Checks across commercial, Medicare, Medicaid & managed plans

Bulk / Batch Verification for next-day and weekly appointment schedules

Authorization Alerts for procedures requiring prior approval

Automatic Documentation & Audit Trails

Dashboard Visibility into verification status and exceptions

Business Impact

The Eligibility AI Agent strengthens your revenue cycle by ensuring coverage is verified before service. This leads to fewer denials, faster reimbursement, and smoother intake.

70% fewer eligibility-related denials

Faster patient onboarding and cleaner claims

Reduced workload for front office & billing staff

Improved patient experience with cost clarity upfront

Stronger cash flow & lower AR days

Built for Healthcare Teams

The Eligibility AI Agent is designed for hospitals, physician practices, ambulatory centers, and billing companies that manage high patient volumes and complex insurance workflows. It’s ideal for teams dealing with manual verification, front-desk bottlenecks, or high denial rates due to eligibility issues. Whether you operate a single clinic or a multi-location health system, it adapts to your EHR, payer mix, and operational processes.

Perfect for organizations seeking faster intake, fewer denials, and improved cash flow through greater efficiency and accuracy.

Hospitals & Health Systems

Multi-Specialty Clinics

Physician Groups

Ambulatory Surgery Centers

RCM / Billing Companies

Ready to Ensure Every Claim Gets Approved?

Let us show you the Eligibility Verification AI Agent in action.

How It Works

STEP 01

Connect to your EHR / PM system

STEP 02

AI Agent verifies insurance & benefits in real-time

STEP 03

Flags exceptions for review (if required)

STEP 04

Updates records automatically

STEP 05

Claims get submitted clean, the first time

Why ImpactRCM

ImpactRCM combines deep RCM expertise with purpose-built AI designed for healthcare workflows, not generic automation. Fewer denials, faster payments, less manual work.

Purpose-built for healthcare RCM, not generic automation

Seamless EHR/PM integration for clean, consistent data flow

Real-time payer verification with accurate benefits and authorization checks

Reduces denials and front-end workload without adding staff