Aarogram utilizes SmartVerify AI technology to automate insurance benefits verification and generate real-time patient cost estimates at the service level, significantly reducing the time required for upfront financial clearance. This solution addresses the lack of transparency in insurance payments, improving patient collections by up to 40% and decreasing turnaround time for patient intake by 90%.
Funding
$130K raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Healthcare providers often struggle with the complexities of insurance benefits verification, leading to a lack of transparency in patient costs and inefficient upfront financial clearance processes. Traditional methods of insurance verification are time-consuming and can result in inaccurate patient cost estimates, impacting patient collections and overall revenue cycle management.
Solution
Aarogram offers an AI-powered platform that automates insurance benefits verification and generates real-time patient cost estimates at the service level. The SmartVerify AI technology streamlines the process of determining network status, service coverage, and patient financial responsibility, including deductibles, co-pays, and co-insurance. By providing accurate, CPT code-level insurance verification and patient-friendly estimate sheets, Aarogram improves patient payment collection and enhances the patient experience. The platform integrates with existing EHR systems and practice management software, offering a comprehensive solution for upfront revenue optimization and accelerated revenue cycle management.
Target Audience
Aarogram primarily serves independent healthcare practices, including sleep centers, neurology clinics, physical therapy centers, mental health practices, dental offices, and digital health providers, seeking to improve upfront patient collections and streamline revenue cycle management. The platform is also suitable for developers and health tech platforms looking to integrate AI-powered insurance verification into their systems.
Features
- AI-powered insurance benefits verification at the CPT code level with over 95% accuracy
- Real-time patient cost estimates, providing clarity on patient financial responsibility
- Automated determination of network status (in/out), service coverage, and applicable fee schedules
- Integration with existing EHR systems and practice management software via API
- Customizable patient-friendly estimate sheets for improved communication
- Instant cost estimator for provider websites to attract and convert more patients
- AI-driven analysis of provider exceptions and plan variations
- Secure, HIPAA-compliant platform to protect patient data