Eligibility and Benefits Verification

Cut the Calls, Keep the Care.

Effortless Insurance Verification & Authorizations Enhanced by AI and Human Expertise.

We manage your insurance calls, verifications, and authorizations with a blend of AI-driven automation and skilled human oversight, freeing your staff from time-consuming calls while maintaining the highest level of accuracy and efficiency. 

AI and Human Expertise: The Perfect Partnership

We combine the power of AI with experienced specialists to handle insurance verification and prior authorizations.  

While AI expedites many processes, our dedicated team ensures a seamless experience by managing cases where automation alone isn’t enough, providing accurate and timely solutions. 

Whether you’re running a single practice or a multi-location healthcare group, our hybrid approach ensures timely, accurate benefits verification and authorizations tailored to your specialty needs. 

What To Expect From Your Enhanced Verification & Authorization Process

Speed & Efficiency

Our AI-augmented system automates many steps of the insurance process. However, we know not all insurers and states support full automation. That’s why our expert team steps in to manage exceptions, ensuring rapid and reliable results every time. 

Enhanced Patient Care

By managing the administrative burden of insurance verifications, we empower your team to spend more time with patients, improving their experience and satisfaction. 

Cost-Effective Operations

Reduce the time and resources needed for benefits verifications and prior authorizations with our automated solutions, supported by human oversight to help you optimize your bottom line. 

Improved Accuracy & Compliance

Our hybrid approach ensures precise benefit verifications and authorizations. AI handles high-volume cases, while our team manages complex scenarios, maintaining compliance with HIPAA and industry standards. 

How It Works

Submit Request

Easily input patient information for eligibility or claims checks—just like sending an email.

Automated Outreach

Our AI technology and robotic process automation (RPA) bots communicate directly with insurers for cases that can be automated. For cases that can’t, our skilled team handles calls and follow-ups, ensuring comprehensive coverage.

Real-Time Updates

Track the status of every request instantly through our secure dashboard, available 24/7.

Detailed Reporting

Once a request is complete, view and print comprehensive eligibility or claim status reports for your records.

Tech Trivia:

Did You Know…

Advanced AI-bots can retrieve benefit verification information directly from websites—no calls required!  

Our RPA and Automation team can help you experience a faster, smarter way to access insurance data, powered by intelligent automation. 

Why Choose Neolytix

13+ Years Nationwide Experience

We understand the complexities of healthcare administration and insurance protocols, providing tailored support for each client’s unique needs. 

Exclusive AI & RPA Automation with Human Oversight

We blend AI-driven automation with skilled human specialists, ensuring accuracy and speed without compromising quality. 

End-to-End Process Expertise

Neolytix offers a comprehensive range of services, from insurance verifications to revenue cycle management, ensuring seamless support across every aspect of your practice’s operations. 

Trusted by 250+ HCOs Nationwide

With a reputation built on reliability and excellence, over 250 healthcare organizations across the country trust Neolytix for their administrative and insurance needs. 

Built-In Compliance & Security

We adhere to the highest industry standards to protect patient data and ensure regulatory compliance: 

HIPAA & SOC 2 Compliance

Full compliance through continuous monitoring of technical infrastructure. 

Secure Data Management

All patient and insurance data is managed securely, keeping your practice in full regulatory alignment.