Payer-Facing AI Phone Calls includes products that enable AI-based interactions with payers over the phone. Generally, payer-facing companies will tend to be making outbound phone calls, but there may be some inbound-calling capabilities as well. Some of the common use cases for products in this category include: - Eligibility and verification of benefits - Prior authorization - Claims status checks - Denied claims appeals - Credentialing and provider management Because the payer environment is generally much more controlled than a patient-facing environment, some of the differentiating factors in this space include: - Fallback support with human agents when the AI isn’t getting the job done - Technical considerations including data privacy, security, and EHR integration quality - Caller dashboard to enable requesting outbound calls and viewing call results. - Analytics capabilities to help track success rates and potential errors across calls. - Payer-specific modules to handle the IVR tree and agent script, or - Low-code script builder to enable customized calling procedures