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Vera
Insurance & Billing Ops

Insurance verified, prior auths tracked, denials worked — all before the first patient arrives

Verification time from 25 minutes to 3. 42 eligibility checks daily. Denial recovery rate up 40%.

$40-50K/yr billing-coordinator time, replacedDeploys in 6-8 weeks
THE PROBLEM

Insurance verification is the most universally despised task in healthcare administration. Before a patient can be seen, staff must confirm active coverage, verify the specific plan and benefits, check deductible and copay amounts, and confirm prior-authorization requirements. For a single patient, this process takes an average of 20-25 minutes done via phone — most of which is spent on hold. Multiply that across 30-50 patients per day, and the math becomes staggering.

The cost of getting verification wrong is even higher than the cost of doing it slowly. A claim denied for eligibility issues after the patient has already been seen means the practice absorbs the cost of the visit, spends additional staff time on appeals, and potentially damages the patient relationship. Eligibility-related denials account for nearly 10% of all claim denials, representing billions in recoverable revenue that practices simply write off because the appeal process is too involved to be worth it.

Prior authorizations compound the problem. A practice managing 15-20 active prior auths at any time — for MRIs, CT scans, specialty referrals, and high-cost medications — spends 6-10 hours per week on submission, resubmission, status checks, and peer-to-peer review scheduling. When an auth lapses because nobody tracked the expiration date, the procedure gets billed as denied and the revenue does not just cost a procedure and its downstream care.

Vera is your AI Insurance & Billing Operations specialist. She confirms eligibility checks on a batch every morning before the first appointment, flags lapsed coverage before the patient arrives, tracks every prior-authorization from submission to approval, and works denied claims by identifying root causes and drafting appeal packages. When a submission needs a peer-to-peer or resubmission, she surfaces it to the billing manager with a full analysis and recommended appeal strategy.

$40-50K/yr
Billing-coordinator time, replaced by a single AI employee.
That is why you need Vera.
HOW IT WORKS

How Vera works, step by step

Each step is automated. Vera only escalates when human judgment is required.

1

Daily 6:00 AM — batch eligibility verification for next appointments

Vera runs 270/271 eligibility transactions for all patients scheduled within the next 48 hours, confirming active coverage, copays, deductibles, and in-network status for the rendering provider, and any prior-authorization requirements for the scheduled service.

via AthenaHealth
2

Eligibility check reveals lapsed, terminated, or inactive coverage

Vera immediately flags the patient and appointment, generates a patient-facing summary of the issue and available options (updated insurance card, self-pay rates, financial assistance), and alerts front-desk to contact the patient before the appointment.

A lapsed-coverage situation on a scheduled or billing shift — the case surfaces immediately to a human.
via AthenaHealth
3

Prior-authorization tracking cycle — daily status check on all pending auths

Vera monitors the status of every outstanding prior authorization via payer portals and CoverMyMeds, flags approvals that are expiring within 30 days, identifies auths that have been pending longer than the payer’s typical turnaround, and escalates the ones with the specific denial reason and recommended next steps.

via CoverMyMeds
4

New claim denial received (835/ERA remittance)

Vera analyzes the denial reason code, classifies the root cause (missing modifier, incorrect NPI, timely filing, medical necessity), and determines if the denial can be auto-corrected and resubmitted or requires manual appeal. Auto-correctable denials (CO-4, missing modifier) are fixed and resubmitted; the rest are escalated.

via Change Healthcare
5

Complex denial requiring clinical documentation or appeal letter

Vera drafts the appeal letter with supporting clinical documentation, the relevant denial-code explanation, and the specific contractual or regulatory basis for the appeal. The letter is queued for billing-manager review and provider signature.

All appeals asserting clinical peer-to-peer review are scheduled by Vera but conducted by the provider.
via CoverMyMeds
6

Weekly billing performance summary

Vera generates a billing digest: clean-claim submitted, denial rate by payer, denial reasons recovered, appeals in progress, and aging A/R analysis — delivered to the billing manager and practice administrator via Slack.

via Slack

What Vera handles vs. what stays with you

Clear boundaries. Vera works autonomously within defined limits and escalates everything else.

Vera handles
Vera runs eligibility transactions and confirms coverage, copays, deductibles, and prior-auth requirements
Vera flags lapsed coverage before the appointment and generates a patient-facing summary of options
Vera monitors the status of every outstanding prior authorization and flags expiring or overdue auths
Vera auto-corrects and resubmits routine denials and drafts appeal packages for complex ones
Your team handles
Vera never communicates final coverage or payment decisions to a patient as fact — a human confirms
Clinical peer-to-peer reviews and medical-necessity determinations remain with the provider
Financial-hardship assessments, payment-plan arrangements, and charity-care approvals are handled by authorized staff
Vera does not override payer-system responses or submit claims it flags as high-risk without human review
Any discrepancy between 835 data and payer portal is flagged for manual verification rather than auto-posted
INTEGRATIONS

Works inside your existing tools

Vera connects to the platforms you already use. No new software to learn.

AthenaHealth
Reads & writes
CoverMyMeds
Reads & writes
Change Healthcare
Reads & writes
Availity
Reads from
IMPLEMENTATION

From zero to Vera

Vera is deployed gradually, with measurable checkpoints at every stage.

DEPLOY TIME
6-8 weeks

Shadow/monitoring mode first, then a gradual rollout.

DATA REQUIRED
Clearinghouse and EHR/PM access with 270/271 and 835/ERA transaction permissions
Payer-portal credentials for prior-authorization submission and status tracking
Practice fee schedule, payer contracts, and denial-reason-code mappings
CoverMyMeds or equivalent prior-auth platform access and provider directory
Appeal-letter templates and provider-signature workflow configuration
PILOT PROCESS

Pilot begins with eligibility verification for a single payer mix. Vera runs alongside the billing team, verifying benefits in shadow mode and drafting appeal packages for review, with accuracy and denial-recovery rate validated before full deployment.

YOUR AI TEAM

Works alongside Vera

These AI employees share data and coordinate with Vera to cover your full healthcare operation.

V

Deploy Vera for your
healthcare operations

Start with a 90-minute discovery session. We evaluate whether Vera is the right fit for your workflows and show you exactly what changes.