real-time eligibility verification

Verify eligibility on every claim — before XIFIN even sees it.

Real-time eligibility verification at order entry, with automatic re-checks at draw and at billing. Stops denials at the source.

20 minutes. No pitch. Just the architecture.

verified pre-bill

Eligibility verification rate

99.6%
week 1 week 12

the problem

Most eligibility denials trace back to a check that happened too early, or didn't happen at all. By the time XIFIN flags it, the test has run and the patient may have changed plans. Your front-office team is fighting two clocks: verifying coverage faster than the payer updates it, and catching plan changes that happen between scheduling and draw. Manual rechecks rarely make it back to billing in time.

how it works

Three agents, one clean handoff.

01

Verify on every order

Real-time check against every payer on file at the moment the order is entered. Coverage status, copay, deductible, prior auth flag — all logged at the claim level.

02

Re-check at draw and pre-bill

Plans change between scheduling and service. We re-verify silently at the draw event, and again before claim submission. No manual rechecks.

03

Flag the edge cases

Term'd plans, missing coordination of benefits, expired auths — anything ambiguous gets routed to your team before the claim ever leaves the queue.

  • HIPAA-compliant
  • Runs in your AWS / Azure / GCP
  • Per-claim audit log
  • Works with XIFIN + 6 other billing platforms
Karl Mielnicki

from the team

Hi, I'm Karl Mielnicki.

I lead eligibility verification automation at Flobotics. Book 20 minutes — I'll walk through the architecture, not a sales deck.

Book 20 minutes with Karl