pVerify specializes in verifying patient insurance eligibility and benefits across a wide range of payers, including Medicare, Medicaid, and commercial providers. It supports diverse healthcare sectors through advanced eligibility checks, batch verification, and integration with electronic health records and practice management software.

Waystar is an end-to-end revenue cycle management company, offering eligibility verification, claims submission, payment posting, denials management, and analytics.

Opkit is a customizable AI outbound phone call platform with both AI agents and human agents. Common use-cases include eligibility checks, prior authorizations, denied claim appeals, formulary checks, and appointment scheduling.

SuperDial is a platform for AI-enabled payer phone calls for insurance verification, prior authorization, credentialing and enrollment, and claim follow-ups. It offers a low-code UI for configuring call flows, placing calls, and viewing call results.

Availity Essentials is a healthcare provider portal designed to streamline various healthcare administrative and management processes. Key features include patient management tools for eligibility and benefits checks, insurance information, and care reminders, along with a comprehensive claims management system for submitting, tracking, and correcting claims. The platform provides electronic remittance advice for easier claim and payment research, and a provider data management system for updating provider information. Additionally, Availity Essentials simplifies prior authorization and referral processes.

Clearwave is a comprehensive healthcare platform designed to optimize patient engagement and administrative efficiency in hospitals and health systems. Its core capabilities include the automation of critical processes such as patient scheduling, registration, and eligibility verification for insurance. Additionally, Clearwave's system supports real-time eligibility verification with payers, facilitates a contactless check-in experience, and offers a digital front door for scheduling.

Develop Health is an AI-enabled eligibility checking and prior authorization platform for medication that automatically calls payers to get benefits details, verifies clinical documentation against plan criteria, and automates form-filling across payer portals for faster authorization.

Eligible provides APIs for streamlining insurance billing, including eligibility checks, insurance verifications, real-time cost estimations, and filing of insurance claims. Eligible offers a REST API that uses JSON, as well as Ruby, C#, Java, and Node.js SDKs.

Experian Insurance Verification automates eligibility and coverage checks for providers. Beyond coverage checks, it supports Medicare reimbursements by offering an automated MBI Lookup Service that identifies missing or invalid MBIs along with Medicare benefit coverage.

Health Harbor is an AI agent that calls insurance companies for eligibility and claim status checks.

MaxRTE provides insurance verification software to assist with real-time eligibility and insurance discovery.

Nirvana Health offers real-time mental health insurance verification and cost estimates via both API and web UI. Features include cardless eligibility checking and automated benefits reverification.

Pledge Health offers an automated patient billing and payments platform, focusing on insurance benefit verifications, patient cost estimates, patient statements, and payment processes to enhance the financial experience for both healthcare providers and their patients

Rivet Patient Pricing generates accurate patient cost estimates in compliance with the No Surprises Act, allowing patients to see their deductible and out-of-pocket costs. The system integrates with EHR and practice management systems, automating eligibility checks, and aligning contracted rates with insurance benefits. It provides customizable payment terms, batch communication, and upfront payment collection.

Sohar Health enables eligibility verification and AI-powered medical coding for behavioral health providers. Sohar offers integration with EHR systems and APIs, enhancing workflow efficiency and enabling easy integration into existing systems.

Wendi is an AI-powered digital assistant for patient engagement from initial contact through scheduling and eligibility checking.