ELIGIBILITY & AUTHORIZATION

Move coverage checks
off your to-do list.

AI agents that gather eligibility information, organize authorization requirements and follow up with payers, keeping the latest status connected to the patient’s case.

Talk to us about eligibility & authorization
handofEligibility & authorization agent
AGENT WORKSPACE WORK QUEUE

Eligibility & authorization

✓Service details received
✓Coverage response retrieved
✓Requirements organized
✓Payer status recorded
Every step connected to the case.

Checking coverage is only the first step.

The work also includes finding the right information, preparing documents and checking again when the answer has not arrived. Handof connects those steps so your team does not have to restart the search each time.

WHAT YOUR AGENTS CAN DO

Take the repeated steps
off your team’s plate.

01

Check coverage in authorized payer workflows

02

Gather service and authorization requirements

03

Prepare supporting documentation

04

Track payer responses and pending decisions

HOW IT WORKS

Clearer coverage information.
Fewer manual status checks.

01

Gather coverage information

Read the patient, plan and service details needed for the authorized coverage workflow.

02

Prepare the request

Organize the supporting documents and identify missing requirements.

03

Follow the decision

Track pending requests, record the payer response and route exceptions to your team.

Eligibility checksBenefits informationPrior authorizationDocument preparationPayer follow-upStatus updates

A few things
you may be wondering.

Does submission mean approval?

No. The payer makes the decision. Handof keeps submitted, pending, approved and unresolved states distinct.

Will it work with our payer portals?

Each intended payer workflow and authorized access path is configured and verified before deployment. Compatibility is assessed for the systems your team uses.

AI EXECUTION FOR HEALTHCARE

Bring AI execution
to your operations.

Discuss your workflows