Eligibility Verification
Check coverage and eligibility against payer data and flag issues before the visit.
- ISO 27001 certified
- SOC 2 Type II certified
- Zero data retention
- Full audit trail
The manual pain
Eligibility surprises at the desk delay care and create avoidable billing problems.
What the agent does
The agent checks coverage against payer data, flags gaps or mismatches, and prepares them for staff to resolve ahead of time.
What You Get
Concrete outputs, each one cited, logged, and reviewed by a person before it is relied on.
Runs on the Unified AI Execution Layer
This agent runs through the same governed path as every CreateOS workflow: routed to the right model, policy-checked before it acts, validated before it answers, and logged for audit.
More Healthcare Agents
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Assemble prior-authorization requests against payer rules, ready for a clinician to review and submit.
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Draft encounter summaries from the record, cited and masked, for a clinician to confirm.
Claims adjudication support
Read claims and supporting documents, check them against policy, and prepare a decision for review.
Patient intake and triage
Structure intake and route cases by urgency, with governed responses and a person in the loop.
Medical-records abstraction
Pull the specific data points you need from long records, cited and masked for review.
Coding and billing QA
Check codes against documentation and flag mismatches before claims go out.
