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Healthharbor offers an AI-powered solution that automates communication with health insurance representatives for private practices and billing companies. The platform manages benefit verifications, prior authorisations, and claim follow-ups with any payor and call type—including Medical, Behavioural Health, and Pharmacy. By automating these critical processes, Healthharbor substantially reduces administrative workload, processes over 3,000 automated calls per day, and delivers accurate results with 90% automation, supporting faster, error-free revenue cycles. Fully HIPAA compliant, Healthharbor emphasizes both security and affordability.
How It Works
- Submit Request: Enter patient details and request eligibility or claims through the web portal or API (as simple as email).
- AI Calls Insurance: AI navigates IVR, waits on hold, and speaks with live insurance reps to obtain information.
- Data Validation: Converts audio/transcript into data, compares with historical data; launches a new call if inconsistencies are found.
- View Results: Results are validated and confirmed, then sent via webhook or displayed in the portal.
- Print Result: Access and print the full eligibility or claim status right from your dashboard.
Use Cases
Optimise Patient Intake
Rapidly verify patient eligibility and benefits during onboarding, delivering accurate cost estimates and faster service.
Streamline Revenue Cycle Management
Automate benefit verification, prior authorisations, and claim status checks to significantly reduce costs and manual effort.
Minimise Insurance Claims Denials
Ensure accuracy and timeliness in benefit verification to lower the risk of claims denials due to coverage issues.
Features & Benefits
- AI Agent: Speaks directly to live insurance reps for benefit verifications, prior authorisations, and claim status
- AI Copilot: Navigates IVR, waits on hold, then transfers call to staff if needed
- Benefit Verifications: Checks plan activity, deductibles/maximums, coverage for codes and locations
- Prior Authorisations: Requests and submits prior auths by phone, follows up on approval status
- Claim Follow-Up & Status: Checks status and denial reasons to improve AR processes
- Affordable Solution: Over 50% cheaper than call centres/outsourcing
- High Accuracy: Delivers 90% automation accuracy
- Scalable Operations: Processes 3,000+ automated calls daily
- Multiple Verification Data-Points: Provides caller’s name, reference number, transcript, and recordings
- Rapid Completion/SLA: Most requests completed in one day, urgent requests same-day if submitted by noon ET
- HIPAA Compliance: Full compliance monitored by Vanta for privacy and security
Target Audience
- Private practices seeking to automate insurance verification, prior authorisation, and claims follow-up.
- Billing companies and healthcare revenue cycle management firms.
- Any healthcare organisation wanting to reduce administrative work and improve revenue cycle efficiency.
Pricing
- Pricing details are not available in the provided information.
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