Splendors AI automates insurance verification, eligibility checks, and prior authorizations for healthcare providers. This allows practices to reduce administrative overhead and focus on patient care by eliminating the need to manually contact payers.
Funding
Funding not disclosed
Founders
Product
Problem
Healthcare providers spend significant time and resources on manual insurance verification, eligibility checks, and prior authorization processes. These tasks create administrative overhead, divert staff from patient care, and can lead to delays in treatment and revenue cycle inefficiencies.
Solution
Splendor AI offers an AI-powered automation platform that streamlines insurance-related tasks for medical practices. The platform integrates with existing EMR systems to automate verification, eligibility checks, benefit calculations, and prior authorization requests. By connecting to hundreds of payer portals and even fielding calls to insurance departments, Splendor eliminates the need for manual intervention in most cases. The system adapts to existing verification forms and automatically flags edge cases requiring human review, ensuring comprehensive coverage and accuracy.
Target Audience
Splendor AI targets medical practices, including medical, dental, and psychological practices, seeking to reduce administrative costs and improve efficiency in insurance-related processes.
Features
- AI-powered automation of insurance verification and eligibility checks
- Automated prior authorization processing
- Integration with existing EMR systems via API
- Connection to hundreds of payer portals for real-time data access
- Automated handling of benefit calculations, remaining deductibles, and visit limitations
- Intelligent flagging of edge cases for human review
- Automated eligibility monitoring with smart alerts for proactive coverage management