Patient access
Know coverage
before the visit.
CIVIE verifies eligibility and deductibles in real time against your contracted rates, shows patients an accurate estimate and collects it at scheduling or check-in.
UnitedHealthcare · Primary
ActiveIllustrative
The challenge
Surprises cost
everyone.
A portal per payer
Staff log in to one payer site after another to check coverage, deductibles and plan types.
Patients surprised by the bill
Without an estimate, patients learn what they owe weeks later, and collections fall.
Coverage problems become denials
Inactive coverage or the wrong Medicare or Medicaid plan is caught after the claim, not before the exam.
How CIVIE helps
Coverage known.
Payment collected.
Coverage checked twice, an estimate from your own contracts and the payment posted where billing can see it.
When the order arrives
Real-time eligibility
Coverage, copay, coinsurance, deductible and out-of-pocket checked when the order arrives and again before the visit, including Medicare, Medicaid and managed plans.When a benefit needs a call
Benefits calls handled
Voice agents call payers when a benefit needs a conversation, and write the answer back.Meet the voice agentsAt scheduling
Estimates from your contracts
Patient responsibility is calculated from your contracted rates, the same ones billing uses.At scheduling or check-in
Collected at the right moment
Patients pay by card, terminal or text link, or set up a payment plan.EasyPayAs it's paid
Posted straight to billing
Time-of-service payments post to CIVIE RCM in real time and reconcile against the claim.Explore CIVIE RCM
Watch it work
The benefits call,
made for you.
A real run of CIVIE's payer-calling voice agent. It verifies benefits for a CT, captures every answer as structured data and reads it all back before hanging up.
Benefits verification call to a payer
Recorded run · synthetic patient data · Oct 10, 2026
Samantha, CIVIE voice agent, calling for Northside Imaging
CT abdomen and pelvis with contrast (CPT 74177)
- Samantha (CIVIE AI)Hi, this is Samantha, an automated assistant calling on behalf of Northside Imaging. I'd like to verify benefits for a patient who has an outpatient CT scan scheduled with us. Is this the provider services line?
Captured for the work item
Structured fields the agent extracted from the call.
- Coverage active
- …
- Plan type
- …
- Network
- …
- Deductible
- …
- Deductible remaining
- …
- Out-of-pocket max
- …
- Out-of-pocket remaining
- …
- Advanced imaging cost share
- …
- Prior auth for 74177
- …
- Auth handled by
- …
- Representative
- …
- Call reference
- …
The payer representative is a scripted test caller; every Samantha turn and every captured field is the agent's real output. Transcript shown as text; no audio is stored for calls.
What we changed in this recording
- Renamed the payer to the fictional "Lone Star Health" and replaced the named radiology benefits manager with a generic description.
- Renamed the practice the agent calls for to the fictional "Northside Imaging".
- Redacted the practice NPI, tax ID, patient name, member ID and date of birth the agent read out, though all are synthetic demo data.
- Removed the voice-direction tags (for example [Serious]) that the agent sends to its speech engine; they are not spoken.
FAQ
Questions,
answered.
Yes. Eligibility is checked in real time at the kiosk or front desk, so walk-ins see their estimate and can pay before the exam.
Next steps
Quote it right.
Collect it up front.
See real-time eligibility and estimates on your own payers.