Open Source Voice Agent SDK
Integrate voice into your apps with VideoSDK's AI Agents. Connect your chosen LLMs & TTS. Build once, deploy across all platforms.
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Fuseinsight automates insurance verification and benefits checks for US healthcare providers, eliminating manual processes—such as time-consuming payer calls. This innovative solution reduces administrative time by up to 95%, saving about 30 minutes per patient and significantly minimises eligibility-related claims denials. Fuseinsight integrates seamlessly with existing EHR systems within minutes and requires zero new software. It comprehensively checks for network status, co-pays, deductibles, prior authorisation requirements, and visit limits, delivering results directly to the EHR as customised notes. Fully HIPAA and SOC 2 Type II compliant, Fuseinsight is dedicated to price transparency, ensuring clear cost estimates for patients and proper revenue for providers. Backed by Y-Combinator, with a team in San Francisco and London.
How It Works
- Seamless EHR Integration: Connect with your existing EHR system within minutes, no software installation required.
- Automated Data Collection: Automatically gathers necessary patient data from EHR and new patient records.
- Payer Portal Checks: Seamlessly logs into payer portals to extract real-time eligibility and benefits information.
- Automated Payer Calls: Voice AI automates calls to payers for nuanced data not available online.
- Comprehensive Verification: Checks network status, co-pays, deductibles, prior authorisation, and visit limits.
- Precise Cost Estimation: Computes accurate patient cost estimates using all collected data.
- Customised EHR Notes: Delivers verification results as a tailored note directly into your EHR workflow.
Use Cases
Streamlining Patient Onboarding
Automate insurance eligibility and benefits checks for new and existing patients, ensuring a smooth and efficient intake process.
Reducing Administrative Burden
Free up healthcare staff from time-consuming manual insurance verification, allowing them to focus on patient care and critical operations.
Minimising Claims Denials
Proactively verify patient eligibility and benefits to prevent claims denials related to incorrect or incomplete insurance information.
Features & Benefits
- Automated Insurance Verification & Benefits Checks
- Automated Payer Calls
- Seamless EHR Integration
- Comprehensive Coverage
- Accurate Patient Cost Estimates
- Reduced Claims Denials
- HIPAA & SOC 2 Type II Compliance
- Negotiated Rates Benchmarking
Target Audience
US healthcare providers, including:
- Orthopaedic specialists (e.g., Alaska Orthopedic Specialists)
- Anesthesia providers (e.g., Denali Anesthesia)
- Integrative medicine practices (e.g., Thrive Integrative Medicine)
- Telepsychology services (e.g., Alaska Telepsychology)
- Physical therapy clinics (e.g., Progressive Physical Therapy)
Also ideal for:
- Medical practices and clinics seeking to automate financial administration
- Healthcare organisations aiming to reduce administrative time and improve efficiency
- Providers looking to minimise eligibility-related claims denials
- Organisations committed to price transparency for patients
Pricing
Information not available in the provided text.
FAQs
How does integration work?
Fuseinsight is designed to work seamlessly with most EHR systems. There is no need to install new software or switch platforms. To minimise onboarding work for your team, simply send a screen recording of your current workflow. Our solution can replicate your preferred processes, so your staff will not need to learn new tools or juggle additional browser tabs.
How much time can I save?
Manual eligibility and benefits checks can take 15 minutes to 2 hours, with most averaging about 30 minutes. This is often due to long hold times with payers. Fuseinsight automates this process, reducing administrative time by up to 95% and delivering fast, accurate results for your team.
What do you mean you can check my rates?
CMS now requires all payers to publish their negotiated rates for every NPI they contract with. However, these rates are buried in massive, complex files that require advanced data science skills to analyse. Our team has experience in extracting, interpreting, and benchmarking these negotiated rates, so you get clear, actionable insights, without the technical hassle.
Is it secure?
Yes, Fuseinsight is fully HIPAA compliant and has achieved SOC 2 Type II compliance through external auditing. We follow strict data security and privacy protocols to protect sensitive healthcare information. For more details, please visit our security page.
Which payer has the best hold music?
Probably Aetna. Get in touch if you disagree.
Open Source Voice Agent SDK
Integrate voice into your apps with VideoSDK's AI Agents. Connect your chosen LLMs & TTS. Build once, deploy across all platforms.
Upvote Now