01
Patient Data Capture
Pulls patient demographics and insurance details from your EHR or practice management system automatically.
Insurance Case Study
Insurance Eligibility in Seconds
Eliminate verification delays and reduce claim denials at scale
Eligibility verification shouldn't slow down care. Our Eligibility Agent automates real-time insurance checks — so your team spends less time on hold and more time helping patients.
The Verification Bottleneck
The Eligibility Delay
Manual eligibility verification is one of the biggest bottlenecks in healthcare operations. Staff spend hours on hold with payers, checking coverage one patient at a time. The result: delayed care, increased denials, and wasted staff time on repetitive phone calls and portal logins.
12–15 min
average time per manual eligibility check
35%
of claims denied due to eligibility errors
$18K
annual cost per staff member for verification tasks
40%
of staff time spent on eligibility calls
Real-Time Verification. Zero Phone Calls.
Meet the Eligibility Agent
The Eligibility Agent connects directly to payer systems and verifies insurance coverage in real time. It checks eligibility, copays, deductibles, prior authorization requirements, and benefit details — all before the patient walks in. No more phone calls. No more portals. No more surprises at the point of service.
Verification that used to take 15 minutes now takes 8 seconds.
How it works
From problem to resolution
02
Payer Connectivity
Connects to payer systems via EDI 270/271 transactions in real time — no manual portal logins or phone calls required.
03
Coverage Analysis
Verifies active coverage, copay amounts, deductible status, out-of-pocket maximums, and prior authorization requirements.
04
Results Delivery
Returns structured eligibility data to your EHR or billing system. Flags coverage gaps, coordination of benefits issues, and prior auth needs before the visit.
Before & After
What changes when you switch to Odin AI
MetricBeforeAfter
Time per eligibility check12–15 minutesUnder 10 seconds
Staff time on verification40% of workday< 5% of workday
Claims denied for eligibility35% of all denialsReduced by 85%
Patient wait time30+ minutes at check-inUnder 3 minutes
10x
faster eligibility verification
85%
reduction in eligibility-related denials
40%
staff time freed from manual checks
Why It Matters
Why it matters
Eligibility errors are the leading cause of preventable claim denials. Every manual check is a chance for human error, a missed prior auth, or an outdated coverage status. With Odin AI, you can:
- Verify coverage before the patient arrives
- Reduce claim denials caused by eligibility errors
- Free staff from repetitive verification tasks
- Improve the patient experience at check-in
Patients verified before they arrive
Staff freed from phone queues and portal logins
Fewer surprise denials at the point of service
Front desk staff can focus on patient experience
Coverage verified in real time, every time
See how Odin can deliver similar results for your organization
Our team will walk you through a tailored demonstration based on your specific workflow challenges.
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