Coming Soon! Insurance Verification Automation is in development. Join the waitlist to get 50% off when we launch.
Join WaitlistWhat is Insurance Verification Automation?
Insurance verification automation checks patient eligibility and benefits electronically, in real time, instead of calling payers by phone. Doctora's verification is built on a clearinghouse network of 1,300+ payers for real-time eligibility across vision, medical, and government plans.
Key Benefits:
- ✓Checks eligibility in real time instead of by phone
- ✓Built on a network of 1,300+ payers for real-time eligibility
- ✓Reads vision-specific benefits, not just medical eligibility
- ✓Flags coverage issues before the visit, not after the claim
Insurance Verification inSeconds, Not Minutes
Check coverage, benefits, and authorizations electronically instead of calling payers. Verification is built on a clearinghouse network of 1,300+ payers for real-time eligibility, so your team knows what is covered before the visit.
The True Cost of Manual Verification
From Minutes on Hold to Real Time
Real-time verification that actually works
Patient Checks In
System automatically triggers verification using patient ID and insurance info from your PMS
Instant Verification
The system queries payer systems, verifies eligibility, pulls benefits, and checks deductibles in real time
Ready for Service
Complete coverage details appear in your system. Staff knows exactly what's covered before exam starts
Complete Coverage Intelligence
Every detail you need, instantly available
Real-Time Eligibility
- Active/inactive status
- Effective dates
- Plan type & tier
- Primary/secondary coverage
Benefits Breakdown
- Copay amounts
- Deductible status
- Out-of-pocket max
- Remaining benefits
Vision Plan Details
- Exam frequency
- Materials allowance
- Contact lens coverage
- Frame benefits
Prior Authorization
- Auto-submission
- Status tracking
- Approval alerts
- Required documentation
Coordination of Benefits
- Multiple coverage check
- Primary/secondary rules
- Medicare coordination
- Split billing guidance
Historical Tracking
- Coverage changes
- Benefit utilization
- Last exam dates
- Claims history
1,300+ Payers, One Connection
Real-time eligibility across vision, medical, and government payers through the clearinghouse network
Vision plans
- Exam and materials eligibility
- Frequency limits
- Frame and lens allowances
- Contact lens benefits
Medical plans
- Active coverage status
- Copay and deductible
- Out-of-pocket status
- National and regional carriers
Government and regional
- Medicare and Medicare Advantage
- State Medicaid programs
- TRICARE
- Regional plans and HMOs
The Verification Transformation
Manual Verification Hell
- •15+ minutes on hold per call
- •Multiple portals to check
- •Incomplete information captured
- •Benefits misunderstood
- •Surprise denials after service
- •Patient dissatisfaction
- •Staff burnout from repetitive tasks
Cost: staff hours and surprise denials
Automated Intelligence
- •Instant verification at check-in
- •All payers in one system
- •Complete benefits breakdown
- •Clear coverage explanations
- •Pre-service financial clarity
- •Happy, informed patients
- •Staff focused on patient care
Result: coverage clarity before the visit
Built on the rails Doctora already runs
Doctora's AI scribe is live today, writing structured exam data into optometry EHRs. Insurance verification runs on the same clearinghouse network Doctora uses to send claims, checking real-time eligibility across 1,300+ payers electronically instead of over the phone.
Verification automation is in early access. Join the waitlist and we will reach out as it opens up for optometry practices.
Common Questions
- How fast is real-time eligibility?
- Real-time eligibility checks return coverage electronically in seconds rather than the minutes it takes to reach a payer by phone. Some payers respond more slowly, and the result comes back as soon as the payer returns it.
- What if a payer isn't in the network?
- Verification runs on a clearinghouse network of 1,300+ payers for real-time eligibility. If a specific payer cannot be reached electronically, the system flags it so staff can confirm that one by phone.
- Where does the benefits information come from?
- Benefits come straight from the payer's own eligibility response, so there is no manual transcription in between the payer and your staff.
- Does it handle vision plan benefit complexities?
- Vision plans work differently from medical plans, with their own frequency limits, materials allowances, and frame and contact lens benefits. Verification is built to read those vision-specific details, not just medical eligibility.
- Can it help with prior authorizations?
- It is designed to flag when a procedure needs prior authorization and help staff track the request and its status.
- What about patient privacy and HIPAA?
- Doctora is HIPAA compliant. Verifications are logged for audit trails, and data is encrypted in transit and at rest.
Get Early Access
Join the waitlist and get 50% off when we launch
Exclusive offer: 50% off when we launch - early access exclusive
* Insurance Verification Automation is in early access. Capabilities described reflect the product we are building. Payer counts reflect the clearinghouse network Doctora uses for real-time eligibility and change over time.