V O B

Turn insurance benefits checks into instant decisions.

Run eligibility checks, normalize benefits, apply your custom rules, and automatically update your CRM/DB—so your team stops chasing payers and starts moving patients forward.

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The Problem

Benefits verification is slow, inconsistent, and expensive.

Most teams do VOB by phone calls, portal scraping, or brittle integrations. Even when you can fetch a 271, the output isn't operational: it's hard to interpret, hard to trust, and it doesn't update your system.

See How We Solve This

One check in. A decision out.

Instead of "here's a raw eligibility response," you get: ACCEPT / NEEDS INFO / DENY, with reasons and next actions.

The Decision Object

Built for operations —not just data.

Every response includes coverage status, decision (ACCEPT | NEEDS_INFO | DENY), reasons, confidence score, and recommended actions. Your team sees the same answer every time, no matter the payer.

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Every Response

Key fields included

Your policies, encoded once. Enforced forever.

Explore Rules Builder

Payer Prefix Routing

Route decisions based on payer prefixes, plan types, and network status—matching your team's actual workflow.

Auto-Deny Gates

Set up automatic deny or needs-more-info gates based on your facility's acceptance criteria and service lines.

Program Rulesets

Create facility-specific and program-specific rules that reflect the unique requirements of each service line.

Score-Based Decisioning

Optional predictive scoring combines multiple factors to help prioritize patients and flag edge cases.

Versioning & Audit Trail

Track who changed what and when. Roll back to previous rule versions with complete change history and compliance logging.

Trusted by healthcare organizations.

We reduced manual VOB time from 4 hours to 15 minutes per patient. The decisioning engine gives us consistent results across all 12 facilities, and our admissions team can finally focus on patient care instead of chasing payers.

Sarah Mitchell

Director of Admissions, Behavioral Health Network

The rules engine is a game changer. We encoded our policies once, and now every patient gets evaluated the same way. Fewer delays, cleaner data in Salesforce, and we have an audit trail for compliance.

Michael Chen

VP Operations, Regional Treatment Centers

The API integration was straightforward, and the normalized output means we don't have to parse different payer formats anymore. We've seen a 70% reduction in admissions delays caused by missing benefit information.