AI-powered insurance eligibility verification
Get accurate eligibility information before it becomes a problem. Flexbone automates verification across payer portals, phone systems, and EDI channels — so your team stops chasing and starts collecting.
Eligibility gaps cost you money before you even see the patient
Mismatched copays, missing benefits, and stale coverage data lead to denied claims and billing surprises. Your team spends hours toggling between payer portals, waiting on hold with insurers, and manually entering data that should be automated.
Flexbone unifies 270/271 data, payer portals, and manual inputs into one reliable eligibility record — verified before the patient walks in.
End-to-end eligibility verification and benefit capture
From the moment a patient is scheduled to the point of service — Flexbone ensures coverage is confirmed, benefits are captured, and patient responsibility is calculated accurately.
Multi-Channel Verification
Attempts verification across insurance portals, 270/271 EDI transactions, and voice channels automatically. When one method fails, Flexbone routes to the next option — no manual fallback needed.
Complete Benefit Capture
Goes beyond basic eligibility to extract detailed coverage information — copays, deductibles, coinsurance, authorization requirements, and plan-specific limitations. Enables accurate patient responsibility estimates at intake.
Patient Responsibility Estimation
Calculates accurate patient responsibility using real-time benefits and contract rates. Reduces billing surprises and improves upfront collections at the point of service.
Network & Contract Intelligence
Determines whether a patient is truly in-network using contract intelligence and plan-level matching. No more mismatched copays or surprise out-of-network charges.
EHR & Clearinghouse Integration
Flexbone EVOB integrates with your EHR and clearinghouse, syncing verified benefits directly into the patient record. Works with major clearinghouses and supports multi-location, multi-payer workflows.
Flexbone EVOB process
Intelligent, multi-channel verification that captures complete benefit data and syncs it to your systems automatically.
Intelligent Multi-Channel Verification
Attempts verification across insurance portals, 270/271 transactions, and voice automatically. When one method fails, Flexbone routes to the next option — ensuring coverage is always confirmed.
Complete Benefit Capture
Goes beyond basic eligibility to extract detailed coverage information — copays, deductibles, coinsurance, authorization requirements, and plan-specific limitations — enabling accurate estimates at intake.
Better Payor Mix Decisions
Complete benefit information at intake helps you make informed decisions about patient acceptance and reduces surprise denials down the line.
Accurate Record Keeping
View all verification data in Flexbone for easy referral, with AI agents saving all information received from insurance — creating a complete audit trail.
Verify benefits for your organization in your sleep
Flexbone EVOB integrates with your EHR and insurance portals, automating eligibility verification so your team can focus on patient care.