Never call insurance again.
Our AI talks to health insurance reps on your behalf, enabling your staff to focus on more complex issues.
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Any Payor.
Any Specialty.
Any Call.
We cover Medical, Dental, Behavioral Health, and Pharmacy.
Benefit
Verifications
We check coverage for specific procedure codes and places of service—details often unavailable on the insurer’s website.
Prior
Authorizations
We ask for the requirements for prior auths, submit prior auths via the phone, and follow up on the status of prior auths.
Claim
Follow-Up
We ask for the current status (not found, pending, paid, or denied), and can follow up on why the claim was denied.
Benefit
Verifications
We check if a patient’s plan is active, deductibles/maximums, and coverage for specific procedure codes—details often unavailable on the insurer’s website.
Prior
Authorizations
We can check the status of a prior authorization inquiry, including the date it was submitted, the date it was approved, how long it lasts and the number of visits approved.
Claim
Status
We handle your AR follow up so you can understand why a claim shows no activity or is denied. Your team can then focus on fixing or adjusting the claim to recover payments left on the table.
Automation Options
AI Agent
Our AI speaks to live reps for benefits verifications, prior auth, and claims status.
AI Copilot
Our AI will navigate IVR, wait on hold and then transfer to your staff to complete the call. Even waiting on hold can save your staff from 15 minutes to an hour, especially if they’re calling BCBS.
Affordable. Accurate. Scalable.
>50%
More affordable than outsourcing to call centers.
90%
Accuracy of our fully automated results.
3k+
Fully automated calls daily.
Who We Call
Our API currently supports major insurers covering ~50% of US plans. We're expanding coverage monthly.
Verifying Results
We offer multiple verification data-points such as the representative's name, reference number, call end time, transcript, and call recordings.
Completion Time
Requests typically return results in 1 day, with a 2 business day SLA. Urgent requests return results on the same day if submitted by noon ET.

How the AI Agent Works

Our AI first navigates the insurance’s automated system or IVR, then waits on hold, and finally speaks directly with a live agent.

We handle the entire call and return results via our API or web portal.

Submit

Submit a benefits verification request via our web portal or API.

First Call

Our AI kicks off a call, navigating IVR trees, waiting on hold, and speaking with a representative.

Vaildation

We normalize the data based off of the audio and transcripts, then we compare to historical results to identify outliers. If there are inconsistencies, then we kick off another call.

View Results

Once we are confident in the results, we notify you via web hook or display results on our web portal.

What Our Customers Love
“The speed and accuracy of the results enable our patients to make informed decisions.”
Director of Clinical Operations, Kivo Health
Pulmonary Rehab
“Health Harbor’s seamless eligibility verifications enable us to focus on patient care.”
Co-founder & CEO, Flair Health
Chronic Care Management
Never Call Insurance Again.
Book Discovery Call