Know the coverage before the visit, not after the denial.
Real-Time Eligibility checks a patient's insurance against the payer before they are seen: active coverage, copay, deductible, benefit details, back in one answer, stored on the record. Run it on one patient when the front desk asks, or across tomorrow's whole schedule overnight, and find the lapsed coverage while there is still time to fix it, instead of thirty days after the claim bounces.
Verify a week of your own schedule See a sample coverage report
THE PROBLEM
Eligibility denials are the most avoidable denial there is, and they still happen constantly, because checking is tedious. Somebody at the front desk has to sit in a payer portal or on hold, per patient, so in practice the checks happen for the expensive procedures and everyone else gets submitted on faith. Then the plan changed in January, or the coverage lapsed, or the deductible reset, and the practice finds out from a denial (or the patient finds out from a bill they were never warned about). Nobody at the payer even reviewed it, an eligibility mismatch gets denied by machine, instantly. The information was sitting there the whole time, one query away. The gap is not data, it is that nobody has time to ask the question for every patient, every visit.
HOW IT WORKS
You point it at a patient, or at the schedule. For each visit it queries the payer through the standard eligibility transaction (the 270/271, the same rails the big systems use, with FHIR coverage queries as payers stand those up) and gets back the payer's answer: is the coverage active, what plan, what copay, where the deductible stands, what the benefits look like. The result is stored on the record so billing sees what the front desk saw, and the answer comes back in plain language, because the workflow is wired into the same natural-language front end as the rest of our healthcare suite. The front desk asks "is Mrs. Alvarez covered for tomorrow", and gets a sentence, not a segment code. Every request is authenticated before it runs, and it is a read, it changes nothing at the payer.
WHAT YOU GET
For each patient, or across the whole roster: - a coverage answer before the visit, active or not, plan and payer details, copay, deductible status, benefit specifics, from the payer's own response, - red flags in time to act, lapsed coverage and plan changes surfaced while rescheduling or a conversation with the patient is still possible, - the result on the record, stored, so billing and the front desk are looking at the same answer, - plain-language answers, ask in a sentence, get a sentence, the raw response stays available underneath, - batchability, tomorrow's schedule checked overnight instead of one portal login at a time.
WHO IT'S FOR
Front-office and revenue-cycle teams at specialty practices where eligibility is checked by hand for some patients and on faith for the rest. Also billing companies and digital-health platforms that want batch eligibility ahead of scheduled visits, and practices using the rest of our healthcare suite (prior auth, claim scrubbing, denial appeals), because this is the front door of that same revenue spine. One honest boundary: a payer's eligibility response is the payer's statement of coverage at query time, not a guarantee the claim will pay, and we will always present it as exactly that.
PRICING
Prices below are hypotheses we are still validating, not commitments. - Pilot, fixed price: we verify your own upcoming schedule for a set period and count what gets caught (inactive coverage, plan changes, deductible surprises) before those visits happen. - Per check (a hypothesis, not a commitment), single or batch, result stored on the record, once the pilot proves the catch-rate on your own schedule. - Platform, license the eligibility workflow as the front end of the full revenue spine (eligibility, then claim scrubbing, then submission, then denial appeals) into your stack. Negotiated.
Any step that would ever take your money is gated and confirmed before it runs, never billed silently.
THE PROOF (dogfood)
We run our tools on ourselves before we ask you to trust them, and where we cannot, we say so plainly. AYA has no patient volume, so our dogfood here is synthetic: we run the eligibility workflow against demo patients and demo payer responses (our healthcare demo surface already includes an eligibility panel), and every run ends in a verification receipt, the same auditable-proof discipline we apply to everything we ship. This page itself left a receipt: the deliverable workflow was scored by our quality gate (84.5, grade B) and its full composition chain, from the workflow down to the payer-query capability, was verified present on disk before this draft was written.
HONEST NOTE
We would rather under-promise. What is true today: the workflow exists, the full chain resolves (workflow, payer eligibility operation, the 270/271 capability underneath, plus the natural-language front door and result storage alongside it), and it scored 84.5/B on our quality gate. What is NOT true yet: it has not queried a live payer or clearinghouse, because a real 270/271 needs clearinghouse or payer API credentials and a BAA, which we will set up with a pilot practice, not before. That is a credentials-and-agreements step, not a missing-capability step, and we will tell you which one we are on rather than imply a proof we have not run. No catch-rate number appears on this page because no real pilot has produced one yet, and we do not publish numbers our own receipts cannot back.
Verify a week of your own schedule
*This page is a specification. The capability it describes is not built yet, and nothing here is a claim that it runs today.*