Flexbone AI For Insurance Eligibility

Get accurate eligibility information before it becomes a problem.

Flexbone Eligibility and Verification of Benefits (EVOB) automates insurance eligibility verification across payer portals, phone systems, and EDI channels.

Verify Coverage the First Time

Flexbone unifies 270/271 data, payer portals, and manual inputs into one reliable eligibility record. No more mismatched copays or missing benefits.

Determine whether a patient is truly in-network using contract intelligence and plan-level matching.

Calculate Patient Responsibility Accurately

Flexbone calculates accurate patient responsibility using real-time benefits and contract rates, reducing surprises and improving upfront collections.

Using AI agents, we can track eligibility across portals, EDI, and phone channels, captures complete benefit details, and sync the results directly into your EHR.

Results

-30%
Reduction in eligibility-related denials
200+ Hours
Staff hours saved
+37%
Point of service collections
Use Cases
  • Verify insurance eligibility and benefits

  • Estimate patient responsibility accurately

  • Prevent registration errors that cause denials

  • Reduce manual portal lookups

  • Enable quicker point of service collections

Automations
  • Works with major clearinghouses

  • Integrates with EHR/PMS systems

  • Automates benefit enrichment

  • Parsing documents and auto reporting

  • Supports multi-location and multi-payer workflows

Flexbone EVOB Process

Intelligent Multi Channel Verification

Attempts verification across insurance portals, 270/271, and voice automatically. When one method fails, Flexbone can route to the next option.

Complete Benefit Capture

Goes beyond basic eligibility to extract detailed coverage information, enabling accurate patient responsibility estimates at intake.

Better Payor Mix Decisions

Complete benefit information at intake helps you make informed decisions about patient acceptance and reduces surprise denials.

Keep Accurate Record of Data

View the data in Flexbone for easy referral, with our AI agents saving all information that the insurance gave.