AI Insurance Verification

How MedOps Automates Your Insurance Verifications

Four simple steps to ensure real-time coverage details flow straight into your EHR.

1. Patient Arrives

The process begins when staff or automation triggers insurance verification at
check-in or scheduling.
This ensures that the patient’s insurance is validated early—before the visit begins.
Once triggered, MedOps handles the rest behind the scenes. No more jumping
between portals, calling payers, or retyping patient info.
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🔵 Works during in-person or virtual check-in
🔵 Triggered by front desk, kiosk, or automation rules
🔵 Starts instantly once the patient is marked "ready"
🔵 Fully HIPAA-compliant and seamless to staff workflows

2. Eligibility Retrieval

After the trigger is activated, MedOps connects to the patient’s insurer and retrieves real-time
eligibility data, often within seconds.

This includes key financial and coverage details such as:
🟣 Copays for visit types
🟣 Deductible status
🟣 Out-of-pocket max
🟣 Plan coverage limits
🟣 Restrictions
Everything is pulled directly from the payer’s system and structured for clinical and
billing review — no more sifting through PDFs or payer portals.

3. Instant EHR Integration

Once eligibility is retrieved and parsed, MedOps automatically syncs the data into the patient’s
chart inside your EHR exactly where your team needs it.
No logins. No copy-paste. No switching windows.
The system integrates directly into your existing workflows, making insurance info
available
at a glance for providers, billers, or front desk staff.
🔵 Real-time sync to supported EHRs
🔵 Eligibility data pre-filled into correct fields
🔵 Works in the background, instantly
🔵 No browser extensions or manual input needed
This isn’t just faster — it’s how eligibility should have worked all along.

4. Alerts & Actionable Insights

If coverage data is missing, expired, or incomplete, MedOps instantly flags the issue
giving your team time to resolve it before the visit begins.

Instead of finding out during checkout or after the claim is denied, your staff gets
real-time alerts and clear, actionable instructions right inside the EHR or workflow tools.


 🟣

Proactively flags invalid or inactive insurance
🟣 Real-time alerts via EMR, dashboard, or email
🟣 Enables front desk to fix issues before patient is roomed
🟣 Prevents denied claims, billing delays, and rework
With MedOps, your team isn’t reacting to problems — they’re preventing them.

Who Benefits from Our AI-Driven Insurance Verification?

Urgent Care Centers – Reduce billing delays and improve revenue recovery.
Primary Care Practices – Ensure accurate eligibility checks before patient visits.
Dental Clinics – Automate insurance verification at the time of service.
Specialty Clinics – Cut administrative workload and prevent claim rejections.

💡 Did You Know?

There are 14,000+ urgent care centers in the U.S., with nearly 60% using Experity — yet most still struggle with real-time eligibility checks.
Millions of claims processors manually verify insurance daily—our AI eliminates the need for this costly labor.

Why Urgent Care Teams Choose MedOps

No More Portals

Everything syncs directly to your EHR. No need to log into Availity or juggle third-party tools.

Faster Check-Ins

Real-time eligibility means patients don’t wait while staff verify coverage manually.

Fewer Denied Claims

MedOps flags coverage issues before the visit—so you don’t find out after a rejected claim.

Less Admin Work

MedOps replaces repetitive tasks with smart automation—freeing up your team’s time for higher-value work.

Better Patient Experience

Shorter wait times and fewer billing surprises increase patient satisfaction and loyalty.

Frequently Asked Questions (FAQs)

How does your AI-powered insurance verification work?

Our system integrates with your EMR to automate real-time eligibility checks, retrieving benefit details instantly and updating patient records seamlessly.

Does this work with Experity and other EMRs?

Yes! Our solution integrates with Experity, ModMed, AthenaHealth, Dentrix, Open Dental, and more. If your EMR is not listed, contact us—we can customize the integration.

What if my practice only collects co-payments?

That’s a common issue! Our system ensures full insurance verification upfront, allowing you to collect deductibles and patient responsibility balances at the time of service.

Is this HIPAA compliant?

Yes! Our AI-driven system is fully HIPAA compliant, ensuring secure and accurate data handling.

Goodbye Portals‍