Automate Insurance Eligibility with AI Precision

ValueDX’s AI Eligibility Agent eliminates manual verification, reducing claim rejections and ensuring real-time payer validation.Simplify eligibility. Strengthen cash flow. Deliver cleaner claims from day one.

Automate Insurance Eligibility with AI Precision

ValueDX’s AI Eligibility Agent eliminates manual verification, reducing claim rejections and ensuring real-time payer validation.Simplify eligibility. Strengthen cash flow. Deliver cleaner claims from day one.

TALK TO AN EXPERT→
VISIT EXPERIENCE CENTER→

The Hidden Costs of Manual Eligibility Checks


 Healthcare teams loose countless hours navigating payer websites, cross-checking data and updating records manually.

  • Delayed claim submissions

  • Higher denial and rework rates

  • Misaligned patient coverage details

  • Inefficient front-office workflows

  • Lower patient satisfaction

Eligibilty

Discover AI-Powered Healthcare Agents — On Your Terms

Step into the ValueDX AI Experience Center and witness our intelligent automation solutions in action.

Experience how AI-powered eligibility and revenue agents eliminate manual data entry, improve payer accuracy, and accelerate claim approvals — all in real time.

  • Watch self-service video demos at your convenience

  • Explore real-world deployments in leading healthcare platforms

  • Learn how AI-driven agents streamline insurance-eligibility workflows, reduce claim denials and optimize overall revenue-cycle performance

    The Foundation of Clean Claims Starts Here

    Eligibility Verification

    Eligibility and benefits verification are the first and most critical steps of revenue cycle success. Manual checks across payer portals often lead to outdated data, missed coverage, and claim rejections. With ValueDX Eligibility AI, verification becomes instant, accurate and automated across all major payers.

    Digital Specialist for Eligibility Verification

    The ValueDX AI Eligibility Agent automates the entire verification workflow — retrieving, validating and updating insurance data in real time. It continuously learns payer behavior, detects invalid policies and ensures that billing begins with clean, verified data.

    Real-Time Payer Connectivity Across All Networks

    AI-Powered Policy Validation & Error Detection

    Automated Secondary Coverage Checks

    EHR & Clearinghouse Integration

    Daily Batch and On-Demand Eligibility Runs

    End-to-End Eligibility Automation in Action

    ValueDX automation engine securely connects to payers and clearinghouses to perform high-speed, high-accuracy verification.

    Patient details captured from EHR or scheduling system.

    AI matches payer and plan data through secure APIs.

    AI validates coverage, copays and deductibles.

    Data automatically syncs back to the billing system

    Invalid or expired policies flagged instantly for correction.

    Real-Time Accuracy. Measurable ROI.

    Real-Time Accuracy. Measurable ROI.

    • 30–50% Reduction in Manual Verification Time

    • Up to 40% Fewer Eligibility-Related Denials

    • Real-Time Coverage Validation

    • 2x Faster Claim Submission Cycle

    • Improved Front-Desk Productivity

    HIPAA-Compliant and Audit-Ready

    ValueDX ensures all eligibility workflows adhere to HIPAA, SOC 2 and ISO 27001 standards. All patient and payer data is encrypted, logged and auditable — meeting the highest standards for healthcare data security.

    HIPAA-Compliant and Audit-Ready

    Purpose-Built for Healthcare Workflows

    Purpose-Built for Healthcare Workflows

    • Nationwide Payer Network Coverage

    • Healthcare-Specific AI Algorithms

    • Zero Disruption to Existing Workflows

    • Integration with All Leading Clearinghouses

    • 24/7 Monitoring & Reporting

    Seamless Integration with Your Systems

    ValueDX connects effortlessly with your EHR, practice management and billing platforms for automatic verification updates

    Experience the Power of Healthcare AI Agents Firsthand

    See how ValueDX’s AI-powered agents can transform your healthcare platform—reducing administrative burdens, elevating patient experience, and accelerating cash flow.

    With deep integrations across EHRs, payers, and clearinghouses, our AI agents empower data-driven decisions and proactive revenue intelligence for sustainable growth.

    • Walk through real-life use cases across hospitals, clinics, and specialty practices—from real-time eligibility verification to analytics-driven revenue intelligence

    • Interact with AI agents to uncover automation opportunities in your workflows

    • Get direct answers from our experts—no obligation, just actionable insights and value-driven outcomes

    Fill out the form below and we’ll be in touch to schedule a convenient time.

    Let’s explore how intelligent automation can transform your healthcare delivery.

      FAQs

      Eligibility verification is the process of confirming a patient’s insurance coverage, copay, and benefits before service delivery. Automating this step helps prevent claim rejections and ensures accurate billing from the start.

      The AI Eligibility Agent connects with payers in real time, validates patient coverage, and updates billing systems automatically. It eliminates manual checks and ensures every claim begins with verified, accurate data.

      AI instantly validates payer data, detects invalid or expired policies, and verifies coverage details such as copays and deductibles. It learns from past transactions to continuously improve accuracy and response time.

      Yes. The AI Eligibility Agent supports real-time verification across all major payers and performs secondary coverage checks automatically — ensuring full insurance validation before claim submission.

      Absolutely. ValueDX follows HIPAA, SOC 2, and ISO 27001 standards. All patient and payer information is encrypted, logged, and auditable, meeting the highest compliance standards.

      Providers achieve 30–50% faster verification, up to 40% fewer eligibility-related denials, and faster claim submission cycles. It also enhances front-desk productivity and improves overall cash flow.

      Automate Insurance Verification with ValueDX

       Reduce denials, prevent rework, and create cleaner claims — powered by the ValueDX Eligibility Verification AI Agent

      Automate Insurance Verification with ValueDX

       Reduce denials, prevent rework, and create cleaner claims — powered by the ValueDX Eligibility Verification AI Agent

      TALK TO AN EXPERT→
      VISIT EXPERIENCE CENTER→