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.
saved per physician, per year
Your staff logged into 12 payer portals before lunch today. Half returned errors. One missed a coverage change. You won't find out until the denial hits — 6 weeks from now.
Your EHR says “active”
Agentman tells you if that patient will cause a denial. It navigates payer portals, interprets coverage details, and flags referral or PCP mismatches before the visit.
Production results
90 → 10 minutes of daily staff time. 65% fewer eligibility-related denials. 4–10x ROI within the first quarter.
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.
What your EHR eligibility tool can't do
Works where APIs don't exist
Navigate payer portals
40%+ of payers don’t support EDI. Your EHR returns an error. Our agents log into the portal and verify.
Covers the 40% gapInterpret coverage, not just check it
PCP correct? Secondary payer? Plan changed since last visit? The nuances that actually cause denials.
Intelligence, not lookupFlags referral & PCP issues before check-in
Catches missing referrals, wrong PCP assignments, and authorization gaps — before the patient sits down.
Prevents denials at the sourceProduction 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.
Live in production
Valley Diabetes & Obesity — Modesto, CA
Minutes per day
on eligibility
Fewer eligibility
denials
Return on
investment
“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
MCPOne workflow. $87,600 saved. Now multiply.
Calculate eligibility verification savings—just the first of six agents available. Full automation delivers 3-5x more.
Your practice details
Your annual savings with Agentman
Time saved annually
984 hours
From 1,200h to 216h per year
Labor cost savings
$24,600
82% reduction in verification time
Revenue protected via denial prevention
$63,000
420 denials prevented annually
Total Annual Savings
$87,600
$7,300/month average ROI
Based on real practice data: These calculations use 75-85% time reduction and 60-80% denial prevention from California practices. Additional savings from faster prior auth processing, reduced claim rework, and improved cash flow are not included.
That's just ONE agent. Full suite potential: $250K+
That's just insurance verification. Here's what else we automate:
Total potential: $250,000+ annually
Most practices recover their investment in the first month through time savings and denial prevention alone.
Pricing
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 $225/provider/mo
- No setup fees or long-term contracts
- Savings calculator included
Get your free eligibility audit.
We'll run your schedule through Agentman and show you exactly what your EHR is missing.