Automated Eligibility Verification | Xoodoc

Next-Gen

Eligibility & Benefits

Instantly confirms coverage, benefits, and plan rules across payers—flagging mismatches before submission so your claims go out clean.

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See Our Process

Xoodoc Eligibility AI

Patient verified. Demographics cross-checked; MRN matched to payer file.
6.3 seconds
Coverage check. Active plan found; PCP on file; COB rules applied.
11.9 seconds
Benefits parsed. Deductible & OOP max loaded; coinsurance at 20%.
15.4 seconds
PA screening. Prior auth required for CPT 31231; clinical criteria attached.
18.7 seconds
Estimate ready. Patient estimate: $142.60 after deductible/coinsurance.
22.2 seconds
Summary generated. Eligibility proof cached; PA packet prefilled.
Completed

Built for Eligibility & Benefits

Revenue Intelligence

Xoodoc AI

Automate eligibility verification—pull benefits, detect prior-auth, and surface patient costs with secure, compliant AI.

Eligibility AI Agent

Eligibility AI Agent

AI verifies coverage in seconds—pulls plan, member, COB, PCP, and benefit details; normalizes data and flags gaps for review.

Benefits & Patient Cost

Benefits & Patient Cost

Real-time deductible, OOP max, copay/coinsurance, limitations, and exclusions—clear estimates your team can trust.

Prior-Auth Readiness

Prior-Auth Readiness

Auto-detects PA requirements by CPT/HCPCS/ICD-10 and payer policy; attaches clinical criteria so submissions are right the first time.

EHR & Payer Connectivity

EHR & Payer Connectivity

Plug-and-play connections to EHRs and payer portals/APIs with audit logs, RBAC, and PHI safeguards—compliant from day one.

Ready to Automate Eligibility?