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ASP-RCM Eligibility AI. Know what they're covered for, before they walk in.

Eligibility errors are a leading cause of preventable denials. The ASP-RCM eligibility AI runs 270/271 transactions in real time across national payers, and surfaces coverage gaps, deductibles, and copays before the visit even starts.

How it shows up
real-time
first-pass eligibility
In-production capability across the active client portfolio.
FULL WALKTHROUGH · 8 MIN

Watch the EVBV AI running on a live case.

Eligibility and Benefits Verification end-to-end. Real claim file, real payer, real output. No demo theater, no fake screens. Eight minutes from intake to confirmed coverage.

Want the EVBV AI run against your own claim file? A senior partner sets up a sandbox session, you bring 20 cases, we walk you through every result line by line.
Book a live EVBV demo →
What it actually does

The capabilities, spelled out.

No black boxes. Here’s exactly what this layer does, end to end.

01

Real-time 270/271 across national payers

Live eligibility check at scheduling. No batch overnight.

02

Coverage discovery on uninsured visits

Surfaces Medicaid, COBRA, and secondary coverage automatically.

03

Active vs inactive policy detection

Flags terminated policies before claim submission.

04

Deductible & copay surfacing at registration

Front-desk sees patient responsibility upfront.

05

Prior-auth requirement detection

Flags procedures needing auth before scheduling.

06

Coordination of benefits resolution

Identifies primary, secondary, tertiary in correct order.

How we describe it

Capabilities, in plain language.

real-time
270/271 response
live at scheduling, not overnight
national
payer connections
commercial, Medicaid, Medicare, MA
pre-visit
coverage surfacing
deductible, copay, auth flags
fewer
eligibility-related denials
vs pre-engagement baseline
How it works

From event to outcome.

A real picture of the workflow. Not a marketing diagram.

01
Patient schedules

EHR triggers eligibility check at scheduling.

02
AI runs 270/271

Real-time call to payer. Returns coverage details.

03
Anomalies flagged

Inactive policy? Auth needed? Wrong primary? Surfaced.

04
Front-desk acts

Re-verifies, collects copay, or escalates.

05
Visit happens

Clean registration → clean claim.

Representative engagement

Multi-site community health network.

"We used to discover ineligibility on the back end, after the visit. Now we know before the patient walks in. Our preventable denial rate dropped meaningfully in the first quarter."
Directional outcomes: first 12 months
Eligibility denialstrending down
Front-end registration timecompressed
Patient collections at point of servicelifted

Ready to see Eligibility Verification AI on your data?

We’ll run a 30-day analysis on a sample of your claims and show you what would have been recovered, denied, or flagged. No obligation.