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HealOS checks a patient’s insurance coverage with the payer in real time, from the dashboard or during a call with the AI receptionist.

What to have ready

  • Your accepted payers. The list the AI receptionist should check against.
  • A decision on who gets checked: new patients only, or all patients.
  • Payer portal logins for payers where the clearinghouse returns nothing. Without them HealOS cannot answer for those payers.

Steps

1

Run a check in the dashboard

Open AI Benefit Verification, find the payer, and run a check with a member id. This shows what the payer returns for your practice.
2

Turn on checks in the receptionist

In the AI Frontdesk settings, turn on Verify benefits before booking and choose who to verify.
3

Add portal logins where needed

For payers that return nothing through the clearinghouse, give us the portal login so HealOS can check there.

How to test

  1. Run a check in the dashboard for a patient you know is covered.
  2. Call the AI receptionist as that patient and book a visit. The check appears in Insurance Checks.

What blocks go-live

  • The payer returns nothing through the clearinghouse and there is no portal login.
  • The receptionist setting is off.
You are live when the first eligibility answer comes back from a payer.