Eligibility & Benefits Verification Agent
Eligibility Pricing
Pay-as-you-go or predictable monthly plans — your choice
No minimums. No contracts. Pay only for checks you run.
Base Check
EDI verification, Copays, Deductibles, data normalization
- EDI eligibility verification
- Copay & deductible extraction
- Data normalization across payers
- Coverage active/inactive status
Smart Resolve
Data fix + retries + patient outreach
- Everything in Base Check
- Automatic data correction & retries
- Patient outreach for missing info
- Prior auth requirements flagged
Attempted
Patient unreachable after max outreach
- Retry across multiple channels
- Max outreach attempts exhausted
- Attempt log for audit trail
Calculate your savings
See how Agentman compares to manual verification costs.
Agentman cost/mo
$1,190
Manual cost/mo
$6,720
CAQH benchmark: $6.72/check
You save/mo
$5,530
82% less than manual
Projected annual savings
$66,360
Base Check (all)
1,000 x $0.50
Smart Resolve (15%)
150 x $4.50
Attempted (~10% of resolves)
15 x $1.00
How it works
Connect your PM/EHR
We integrate with AdvancedMD, athena, Epic, and 40+ systems.
Set your rules
Choose which appointments trigger checks and how far in advance.
Agent runs checks
Agentman queries payers via Agentic APIs — no portal logins needed.
Issues flagged
Inactive coverage, auth requirements, and benefit gaps are surfaced instantly.
Staff reviews exceptions
Your team handles the 5-15% that need human judgment. We handle the rest.
What's included with every check
All-payer coverage
Commercial, Medicare, Medicaid, and workers' comp — one agent handles them all.
HIPAA compliant
End-to-end encryption, BAA included, SOC 2 Type II in progress.
Real-time results
Most checks complete in under 10 seconds. Batch runs finish overnight.
Full audit trail
Every check is logged with timestamps, sources, and data lineage.
Analytics dashboard
Track check volume, pass/fail rates, payer response times, and savings.
Human escalation
Checks that can't be resolved automatically are routed to your staff with context.
Billing details
- Consumption billing is metered daily and invoiced monthly.
- Subscription plans are billed monthly. Cancel anytime — no long-term contracts.
- Overage on subscription plans is billed at discounted rates (from $0.30–$0.40/check, $3.00–$4.00/resolve depending on plan).
- Attempted transactions are only charged when Agentman initiates outreach — not when the patient is already unreachable.
- EHR/PM integration is included with all subscription plans at no additional cost.
- All prices in USD. Volume discounts available for 5,000+ transactions/month — contact us.
Stop paying $6.72 per eligibility check
Start with pay-as-you-go and see the savings in your first week. No setup fees, no contracts, no risk.