Delfino provides an AI-powered platform to automate repetitive administrative phone calls between healthcare payors and providers. The system handles tasks like eligibility verification, prior authorization status checks, and claim inquiries by navigating IVR systems and conversing with live agents. This automation saves staff time, preserves institutional knowledge, and offers scalable support for administrative workflows.
Funding
$500K 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 spend significant time on the phone verifying patient benefits and eligibility with payers, navigating complex Interactive Voice Response (IVR) systems and waiting on hold. This process is time-consuming, costly, and pulls staff away from higher-value patient care activities.
Solution
Delfino AI automates payer phone calls using an AI-powered platform that understands natural language and can navigate IVR systems. The platform places calls to payers, asks specific questions related to eligibility, benefits, prior authorization, and claim status, and then shares the answers with the healthcare provider. If the AI is unable to complete the call, a human fallback team steps in to ensure the required results are obtained. This reduces the administrative burden on healthcare staff, allowing them to focus on patient care and other critical tasks.
Target Audience
Delfino AI targets healthcare providers, including hospitals, clinics, and physician practices, seeking to automate payer interactions and reduce administrative overhead.
Features
- AI-powered call automation for eligibility and benefit verification, prior authorization checks, and claim status inquiries
- Natural language processing (NLP) to understand and respond to payer IVR systems and live representatives
- Human fallback team to handle calls that the AI cannot complete
- Secure platform with HIPAA compliance monitored through Vanta