Confirm coverage, file the authorization, submit the claim and post the payment — for one patient or a whole roster, before anyone walks in.
Sample views use synthetic references. No patient data appears on this page.
Every patient creates another payer portal, another login, another copy-paste. It's slow, it's error-prone, and it breaks the second volume climbs. AutoMed makes the check itself disappear.
Eligibility, claims, status, remittance and enrollment run through a single real-time integration — JSON or X12, real-time or batch, API or portal. Take the whole set, or the one transaction that's costing you most.
Active coverage, plan type and full cost-share detail — real-time for one patient, batch for the whole roster.
270 / 271Find active health plans from patient demographics alone — no member ID needed. Turns self-pay into billable.
DiscoveryIdentify coverage overlap and establish payer primacy, so claims go out in the right order the first time.
COBResolve Medicare Beneficiary Identifiers, and turn parsed copay and coinsurance data into a patient cost estimate before service.
MBI · EstimatesProfessional, institutional and dental claims created as compliant transactions and routed to the right payer.
837 P · I · DEvery claim checked against a growing database of edits and repairs across all SNIP types — errors caught, and often fixed, before the payer sees them.
SNIP 1–7CMS-1500 and UB-04 submitted through the same pipeline as electronic — printed and mailed to the payer for you.
CMS-1500 · UB-04Upload PDFs and images, then send them as attachments tied to the claim they belong to. No fax cover sheet.
275Accepted or rejected, confirmed by the payer within minutes — with the reason attached, not a silent failure.
277CA · 999Any claim's status in seconds instead of a phone call — polled on a schedule you set, all the way to a decision.
276 / 277ERAs ingested automatically by webhook, matched to the claim by patient control number, and available as PDFs to post from.
835Adjustment and denial codes decoded, underpayments flagged, and rejected claims corrected and resubmitted from the same screen.
CARC · RARCThousands of medical and dental payers, with automatic failover between connections so one outage doesn't stop the day.
3,500+ payersSubmit enrollment by CSV or API — requirements, signatures and payer follow-up are handled and tracked from start to approval.
EnrollmentJSON-native or raw X12, delivered by API, webhook or SFTP — with a free sandbox to test against before you go live.
JSON · X12 · SFTPRun checks by hand, filter claims by status, patient, payer or date, and redrive failed transactions — with role-based access.
PortalAutoMed runs a proprietary automation stack — large language models, intelligent workflow modules and clearinghouse integrations — purpose-built to eliminate manual payer work and lift operational efficiency across every healthcare entity.
Models tuned on payer language to read, interpret and normalize benefit and denial responses.
Composable steps that route, retry and escalate edge cases without human touch.
Direct, real-time connections to every major payer and clearinghouse network.
End-to-end EHR and practice management integration that closes the loop.
PHI handling · BAA available
Information security management
The same real-time logic powers both modes, so results are bit-for-bit identical whether you verify one patient at the front desk or clear tomorrow's entire schedule overnight.
Failures sort automatically into retryable and call-payer. One click bulk-retries the transient ones — no manual triage.
Checks run, coverage gaps, claims in flight, weekly volume and top payers — the operational picture at a glance.
The batch worker runs each patient through the same real-time engine, encrypts every identifier, and lands a 42-field completed deliverable your billers work straight from — with skipped and errored rows flagged by reason.
Every batch teaches the dictionary which insurance-name variants map to which payer ID — so manual lookups shrink over time and matches arrive pre-scored: saved · auto · review.
A single real-time engine + parser powers both the single check and the batch worker — batch and single results never drift.
Verifying at the eligibility stage — not after a denial — is where the revenue cycle actually turns. Representative results from practices on AutoMed.
Eligibility-driven denials
Days in A/R
Appeal win rate
Coverage verified pre-visit
PHI-grade security isn't a checkbox bolted on afterward — it's how every check runs, from the database row to the access token. Nothing identifying is rendered where it doesn't need to be.
Every practice is walled off at the data layer — cross-tenant leaks are structurally impossible, not just policy.
Every identifier and record encrypted at rest and in transit, and masked again at display time.
Modern password hashing, short-lived access tokens, idle-timeout logout and role-based data masking.
Every login, upload, check and invite recorded — a complete, reviewable history.
Built for the high-volume facilities where eligibility runs into the thousands a day — across every payer mix and site.
Large integrated delivery networks
High-traffic emergency care teams
Integrated multi-specialty practices
Ambulatory surgery center networks
Stand-alone and regional centers
Radiology and imaging specialists
Diagnostic and laboratory services
Dialysis and nephrology groups
Cancer treatment and infusion care
Multi-location urgent care
Federally qualified health centers
Skilled nursing facility groups
In-home health and care
Cardiology clinics and service lines
Remote monitoring and chronic care
Revenue cycle management firms