Solutions · Payors
Navigate Complex Payor Systems with AI
Streamline benefits verification, prior authorization, and claims status inquiries with AI agents that navigate complex payor phone trees and systems.
How Urvika.ai Helps
Payor interactions are the most time-consuming administrative task in healthcare. Hold times, complex phone trees, and inconsistent processes waste thousands of staff hours daily. Urvika.ai's AI agents handle these calls autonomously, delivering consistent results around the clock.
Benefits Verification
AI agents call payors to verify patient insurance benefits, eligibility, copays, and deductibles — handling hold times and complex phone menus automatically.
Prior Authorization
Automate the entire prior auth process from initial submission to status checks and follow-ups, reducing turnaround from days to hours.
Claims Status Inquiry
Proactively check on claim status, identify denials early, and escalate issues to your revenue cycle team before they become problems.
Eligibility Checks
Real-time eligibility verification before patient visits to prevent claim denials and surprise billing scenarios.
Appeals & Denials Management
Automated follow-up on denied claims with intelligent escalation and documentation gathering to maximize appeal success rates.
PBM Interactions
Navigate pharmacy benefit manager systems for prescription coverage verification, formulary checks, and override requests.
Key Use Cases
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