Automated benefit verification

Stop calling
insurance companies.

getclaimsure automatically checks patient eligibility and benefits when appointments are booked — then posts results directly to your EHR. No manual calls. No portal hopping. No data entry.

Sarah Johnson
DOB: 03/15/1988 · ID: AET-882991
Active
Plan
Aetna PPO Gold
Copay
$30 PCP / $50 Spec
Deductible
$1,500 ($420 met)
OOP Max
$6,000 ($890 met)
Verified automatically · Posted to EHR · 4.2s

BUILT FOR CLINICS USING EPIC · CERNER · ATHENAHEALTH · ALLSCRIPTS

Your front desk spends hours on hold.
Your patients show up with surprises.

The average practice spends 20 minutes per patient verifying benefits manually. With a full schedule, that's an entire FTE just making phone calls and copying data between screens. getclaimsure eliminates that work completely.

01

Auto-triggered by scheduling

Patient books an appointment in your EHR — verification starts instantly. No clicks, no reminders, no missed patients.

02

API-first with AI voice fallback

We check the clearinghouse API first for instant results. If the payer doesn't support electronic checks, our AI voice agent calls them.

03

Results posted to the EHR

Copay, deductible, coinsurance, coverage status — all written directly to the patient's chart. Staff see it where they already work.

04

Works with your EHR

SMART on FHIR integration with Epic, Cerner, athenahealth, and more. Launches inside the patient chart. No separate login.

05

Real-time dashboard

Track every verification across all your clinics. Search, filter by status, drill into benefit details, re-verify with one click.

06

HIPAA compliant

All data encrypted at rest and in transit. BAA available. Audit logging on every action. Built for healthcare from day one.

How it works

1

Appointment booked

A patient schedules a visit in your EHR. That triggers a webhook to getclaimsure.

2

Patient data pulled

We read the patient's demographics and insurance from the EHR via FHIR.

3

Benefits verified

Clearinghouse API checks eligibility instantly. If it fails, our AI agent calls the payer.

4

Results in the chart

Coverage status, copay, deductible, and more — written directly to the patient's EHR record.

4.2s
Average verification time via API
20min
Saved per patient vs manual calls
99.2%
Verification success rate

Simple, transparent pricing

Pay per verification. No monthly minimums. No setup fees.

Per verification
$0.50per check
✓ Unlimited clinics
✓ API + AI voice fallback
✓ EHR write-back included
✓ Dashboard + search
✓ HIPAA compliant
✓ No contracts
Get started

Ready to stop making phone calls?

Set up takes less than a day. We'll connect to your EHR and start verifying patients automatically.

Request a demo