Your staff shouldn't spend 90 minutes a day on eligibility checks
The eligibility agent verifies coverage across 2,700+ payers before patients walk in — automatically, every day, with exceptions flagged for your team to review.
The problem
Manual eligibility costs more than you think
Before every appointment, someone logs in to payer portals, checks coverage, confirms PCP assignment, and updates your PM system. Multiply that across 30+ patients a day. When it slips, denials follow.
90 minutes lost, daily
Per doctor, staff spend up to two hours checking eligibility across a dozen payer portals — every single day.
$50–80K in preventable denials
Missed eligibility means claims denied downstream. Per practice, that’s $50–80K a year in lost revenue.
$40–50K for a dedicated resource
Most practices hire a full-time person just for eligibility and prior auth. That’s a big line item before benefits.
Patients seen without coverage
When verification slips, patients are seen without valid insurance. The practice absorbs the cost.
How it works
Five days ahead, every payer, every patient
The eligibility agent runs automatically each day — checking upcoming appointments against 2,700+ payers. Exceptions surface to your command center. Valid patients flow through untouched.
Pull the schedule
Each morning, the agent reads upcoming appointments — typically five days out — from your practice management system.
Verify every patient
Coverage, PCP assignment, referral requirements, and active status are checked across all contracted payers.
Flag the exceptions
Invalid coverage, payer mismatches, and expired policies surface in the MedMan command center for staff review.
Retry automatically
Payer APIs go down — especially in Q1. The agent retries with built-in logic so staff don’t track which checks failed.
Your team stays in control
Agents assemble. Humans approve.
The eligibility agent does the checking. Your staff does the deciding. Every result is visible, reviewable, and auditable.
Full visibility
Every check, every result, every retry — visible in the command center with timestamps and payer responses.
Complete audit trail
Data lineage from patient record to payer response. Know exactly where data came from and where it went.
Human-in-the-loop
Staff approve, escalate, or override. Nothing goes out without a person signing off.
The differentiator
Works where APIs don't exist
Over 40% of payer interactions don't have clean APIs. Most eligibility tools stop there. Agentman doesn't.
The MedMan desktop app includes screen agents that navigate payer portals directly — the same pages your staff would use, but automatically.
2,700+ payers covered
90% of major commercial and government payers covered. Regional payers via screen agent.
Production numbers
Three months of live data from a real practice
Valley Diabetes & Obesity deployed the eligibility agent in October 2024. These numbers are from their first 12 weeks.
Customer story
Valley Diabetes & Obesity
A multi-provider endocrinology practice managing 10\u201315 payer contracts daily. After deploying the agent, daily eligibility work dropped from 90+ minutes to under 10 — with downstream denials significantly reduced.
“It saves me potentially $50 to $80,000 a year that I'd lose to a denial downstream because a patient didn't have insurance.”
— Sachin Gangupantula, VP Agentic Healthcare & Practice Owner
Agent skills
Gets smarter with every practice
Every clinic contributes skills to a shared library. Eligibility rules for Cigna. Exception patterns for AllCare. Each skill makes the agent faster — for everyone.
Skills are codified instructions in plain English that capture payer-specific workflows. Versioned, editable, always improving.
Trading partner rules and coverage confirmation
Referral requirement detection before submission
Smart retries with alternate strategies
Part A/B/C/D and secondary payer detection
Auto-incorporates latest payer rule changes
Integration
Connects to your existing systems
Plugs into the PM and EHR systems your team already uses. No rip-and-replace.
AdvancedMD
● LiveDrChrono
● LiveAthena Health
In progressCover My Meds
● Live42+ connectors
New EHR in 1–2 days
MCPPricing
Simple, transparent pricing
Choose pay-as-you-go or a predictable monthly plan. Either way, you save 85%+ versus manual verification.
- Pay-as-you-go from $0.50/check
- Predictable plans from $99/provider/mo
- No setup fees or long-term contracts
- Savings calculator included
See it working in your practice
Sign up, connect your PM system, and run your first eligibility check in five minutes. No demo calls. No sales process. Just results.