Insurance verified
before they walk in
A three-layer fallback chain — electronic eligibility, AI voice agent, and AI troubleshooter — runs every night so your front desk never calls an insurance company again.
Comience la prueba gratuitaThree ways to verify.
Zero excuses for failure.
If the electronic check fails, an AI voice agent calls the insurance company. If that fails, an AI troubleshooter helps your staff debug it in real time.
Electronic Eligibility (270/271)
Real-time HIPAA 270 eligibility request sent to the payer electronically. Results in seconds. Smart retry logic tries alternate name formats, strips member ID suffixes, and searches for the correct payer code.
Voice AI Agent
When electronic fails, an AI voice agent calls the insurance company, navigates the IVR, speaks to a rep, and retrieves eligibility details — completely automatically. No human intervention needed.
AI Troubleshoot Assistant
When both automated paths fail, staff can chat with an AI assistant that has direct access to payer lookup tools. It searches payers, retries with modified parameters, and diagnoses the root cause.
While you sleep,
every patient gets verified.
At 2 AM every night, the system pulls tomorrow's schedule and runs the full fallback chain for every patient with insurance on file.
Pull Tomorrow's Schedule
Fetches all appointments for the next business day from your PMS via Sikka. Filters to patients with insurance on file. Skips anyone already verified in the last 7 days.
Electronic 270/271 Request
Sends HIPAA 270 eligibility inquiry to each payer. Smart retry with alternate name formats, ID variations, and payer code search. Most patients verified here in seconds.
Voice AI Agent Calls
Patients that failed electronic verification are queued for AI phone calls. The voice agent calls the insurance company, navigates the menu, and gets the info verbally. No human needed.
PMS Writeback via Sikka
Results — active/inactive, annual max remaining, deductible status, copay — written to appointment notes and patient alerts. Front desk sees everything when they walk in.
Auto-Verify on Form Submission
When a new patient submits intake forms with insurance info, the same 3-tier chain fires immediately. Verified before they even arrive for their first visit.
Walk in to a verified schedule
Your front desk sees verification status, coverage details, and alerts for every patient — before the first appointment.
Tomorrow's Verifications
Wednesday, Feb 19 · 12 patientsEvery detail considered
Smart Deduplication
Skips patients already verified in the last 7 days. No wasted API calls, no duplicate charges. Configurable verification window per practice.
200/Night Safety Cap
Built-in rate limiting prevents runaway costs. Maximum 200 verifications per practice per night with overage alerts and automatic pausing.
Frequency Alerts
Flags when prophy, BWX, pano, or exam frequency limits are approaching. Your front desk knows before treatment — not after the denial.
Usage Analytics
Monthly breakdown of auto vs. manual verifications, overage tracking, and 12-month usage history. Full transparency on costs.
On-Demand Manual
Staff can trigger single-patient verification anytime from the dashboard. Same 3-tier chain, same results — just on demand instead of overnight.
Batch Verification
Verify multiple patients at once via the Sikka-native insurance endpoints. Perfect for schedule changes or last-minute additions.
Start free. Scale when ready.
Every plan includes the full 3-tier fallback chain. Upgrade for higher volume and nightly automation.
Gratis
- ✓ 3-tier fallback chain
- ✓ Manual on-demand verification
- ✓ PMS writeback via Sikka
- ✓ Coverage & benefit details
- ✓ Verification dashboard
Automatización
- ✓ Everything in Free
- ✓ Nightly auto-verification
- ✓ Schedule-based triggers
- ✓ Voice AI fallback calls
- ✓ AI Troubleshoot (MCP)
- ✓ On-intake auto-verify
- ✓ Frequency limit alerts
Enterprise
- ✓ Everything in Automation
- ✓ 10,000 monthly verifications
- ✓ Multi-location support
- ✓ Priority API access
- ✓ Dedicated support
- ✓ Custom safety caps
Overage rate: $0.50 per verification past your plan limit · No contracts · Cancel anytime
More Than Just Forms
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