BH Insurance Verification Automation — 2026

Automation Tools

• Availity (multi-payer real-time eligibility)
• Change Healthcare Clearinghouse
• Waystar Eligibility
• pVerify (BH-specific)
• EHR-integrated verification (TherapyNotes, SimplePractice, CentralReach)

Automation Workflow

1. Patient books appointment
2. System triggers eligibility check overnight (batch)
3. Alert generated if benefits changed or expired
4. Prior auth requirement flagged automatically
5. Front desk sees pre-check results at check-in
6. Copay collected accurately
7. Claim submits with clean eligibility data

Expected Impact

• Denial rate reduction: 30-50%
• Bad debt reduction: 20-40%
• Staff time savings: 5-8 hours/week per FTE

Revenant Care Automation

– KD, Revenant Care