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Delfino

Automating repetitive phone calls to healthcare payors and providers.

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Overview

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Delfino AI offers an advanced, AI-powered platform to automate repetitive phone calls within the healthcare sector. The solution navigates complex IVR systems, waits on hold, and interacts with live payor and provider representatives. This ensures that healthcare teams can focus on higher-value activities, preserve essential institutional knowledge, and flexibly scale support. Delfino is fully HIPAA compliant, with ongoing monitoring via Vanta for optimal data security and privacy.

How It Works

  • Make Your Call Request: Submit call requests by providing patient information and specifying questions for the payor (such as "Is the provider in network?" or "What is the copay?").
  • We Will Place the Call: The AI-powered platform initiates calls to payors or providers, asks your questions, and relies on a human fallback team if the AI cannot complete the call, ensuring results.
  • We Will Share the Answers: Receive prompt answers to your questions without manual effort.

Use Cases

Eligibility and Benefit Verification
Quickly confirm patient insurance eligibility and benefits before appointments or procedures, reducing claim denials.
Prior Authorisation Management
Automate checks for prior authorisation requirements and monitor the status of existing authorisations to accelerate patient care.
Claims Status Inquiry and Follow-up
Efficiently inquire about the status of submitted claims and perform necessary follow-up, improving revenue cycle management.

Features & Benefits

  • Automated Call Handling (AI navigates IVRs, waits on hold, and conducts conversations)
  • Human Fallback Support (ensures completion when AI can't finish)
  • HIPAA Compliance (data privacy monitored by Vanta)
  • Save Time (redirect resources to higher-value tasks)
  • Maintain Knowledge (consistent operations regardless of staffing changes)
  • Create Flexibility (scale support to match changing demands)
  • Comprehensive Call Types (eligibility, prior authorisation, claims-related calls)

Target Audience

  • Medical Practices
  • Hospitals and Clinics
  • Healthcare Providers
  • Medical Billing Companies
  • Insurance Payors (inbound or outbound call automation)
  • Administrative and Revenue Cycle Management Teams

Pricing

Information not available.

FAQs

What does Delfino AI do?

Delfino AI automates repetitive phone calls to healthcare payors and providers, handling tasks like navigating IVRs, waiting on hold, and conversing with live agents to gather necessary information.

What types of calls can Delfino AI automate?

Delfino AI can automate calls for eligibility and benefit verification, prior authorisation requirement checks and status updates, and claims status inquiries and follow-ups.

How does Delfino AI save time for healthcare organisations?

By automating time-consuming phone calls, Delfino AI allows your staff to redirect their valuable time and resources to higher-value patient care and strategic tasks.

Is Delfino AI HIPAA compliant?

Yes, Delfino AI is HIPAA compliant. We utilise Vanta to help monitor and maintain our compliance standards, ensuring the security and privacy of sensitive patient information.

What happens if the AI cannot complete a call?

If for any reason our AI-powered platform cannot complete a call, a dedicated human fallback team will step in to ensure that you receive the required results and information.

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