01 · Request
Tie it to the visit
Enter the appointment, payer, member, and benefit questions that matter for the planned care.
Automated eligibility · early access
Benefits verified before the appointment.
Autoelig turns a dental eligibility request into a structured result with coverage, accumulators, limitations, and code-level benefit detail kept in one reviewable place.
Most supported verifications complete in 1–10 minutes, timed to the appointment date.
Eligibility resultSample Dental PPO
Verified · 4 minCoverage statusActive
Effective Jan 1Annual maximum$1,500$1,180 remaining
Deductible$50$25 remaining
BenefitPlan pays
D0120 · Periodic exam100%
D1110 · Adult prophylaxis100%
D2391 · One-surface composite80%
Illustrative result · synthetic data
- Most verifications
- 1–10 min
- Completion rate
- 99%
- Review surface
- 1 result
Timed to the appointment date
Across the payers we support
Structured detail plus standardized PDF
A short operating loop
Request, verify, review.
The workflow keeps the source, status, and unresolved detail visible. It does not fill missing benefit fields with optimistic defaults.
02 · Verify
Use the right source
Check supported sources and surface missing plan detail for review instead of hiding the gap.
03 · Result
Return a consistent answer
Review a read-only result and standardized PDF without re-keying the same benefit details.
The eligibility answer trail
Questions the agent must resolve—not quietly skip.
An automated result is only useful when it separates confirmed benefit facts from unavailable detail and review work. These are the questions the workflow is designed around.
Is the member active on the appointment date?
Confirm member matching, coverage status, effective dates, and the plan attached to the scheduled visit.
Eligibility responseDoes the planned code have a usable benefit?
Resolve category coverage, deductible application, percentages, age limits, and code-family rules.
Plan and code-level benefitIs the benefit still available?
Apply frequency rules to returned history and distinguish calendar, contract, and rolling periods.
Limit and service historyWhat could change the estimate?
Surface waiting periods, downgrades, missing-tooth clauses, coordination rules, and missing source detail.
Explicit exception review
Start free
One portal instead of ten payer logins.
Still opening a different payer website for every patient? Use one web application for every plan and get benefits back in a single standard format, usually in 5–10 minutes. It is free, and it needs no credit card. Each office is onboarded by our team and signs a BAA before access.
Free result previewSample Dental PPO
Verified · 4 minCoverage statusActive
Effective Jan 1Annual maximum$1,500$1,180 remaining
Deductible$50$25 remaining
BenefitPlan pays
D0120 · Periodic exam100%
D1110 · Adult prophylaxis100%
D2391 · One-surface composite80%
Illustrative result · synthetic data
Eligibility field notes
Plan detail, explained for real appointments.
Direct answers to the questions practice teams—and the AI systems helping them—ask about coverage, limits, history, and uncertainty.
Eligibility · 6 min
Eligibility is not the same as benefits
Why active coverage still leaves essential questions about planned care and patient responsibility.
Read field notePlan design · 7 min
“Deductible met” does not finish the plan-design check
Separate running accumulators from the rules that determine whether a service is covered.
Read field noteHistory · 6 min
A frequency limitation without history is half an answer
Apply date rules without inventing missing service history or hiding shared code limits.
Read field noteEarly access
Bring one office or a multi-office workflow.
Tell us how eligibility is handled today and which payer details cause the most rework.