# Insurance Verification at Scheduling — Healthcare AI agent | Mihu AI

Healthcare · Scheduling

# Insurance Verification at Scheduling

Verify coverage and plan-network status before the appointment.

Set up this outcome

## Apps this needs

Clearinghouse / Payer Eligibility Real-time insurance eligibility, benefits and prior-authorization status. Connect during setup

SMS Gateway Fallback text messages for reminders and links. Connect during setup

EHR / Practice System Read availability and write appointments back to your clinic system. Connect during setup

## How it works

As soon as an appointment is booked, agent runs a real-time eligibility check via the clearinghouse.

Flags any issue — inactive coverage, out-of-network, referral required — back to the patient with lead time to resolve.

Confirms co-pay/estimated cost-share from the plan benefit summary.

Notifies front desk of any unresolved coverage issue, flagged on the appointment record .

## Data sources

Payer eligibility/clearinghouse data Plan benefit summary

## What it targets

Appointments with verified coverage before visit Target 92%

Same-day coverage issues at check-in Target -60%