Verify coverage
Use the available 270/271 eligibility exchange or payer portal to capture active coverage, plan dates, and service-level benefit details for scheduled care.
Service 02 / 09
Patient access
A clean revenue cycle starts before a claim exists. FERO helps teams organize coverage checks, benefit details, and authorization support so missing information is easier to spot and resolve.
Eligibility checksBenefits reviewAuthorization support
The challenge
Details matter. So does momentum.
Access teams move between payer portals, practice systems, work queues, and phone calls. A missed detail can surface much later as rework, a delay, or a denial.
Put repeatable eligibility and benefits work on a more reliable path before the visit and before the claim.
Where robot workers fit
A defined job for every step.
Tasks are mapped to the systems and controls in your environment. People review exceptions and remain accountable for decisions.
Compare the record
Check the returned member and payer information against registration data. Flag mismatched identifiers, inactive coverage, or unclear coordination of benefits.
Route authorization questions
Apply a payer and service-specific checklist, then send possible authorization requirements and missing documents to the responsible access specialist.
Operational blueprint
What goes in. What comes back.
A useful worker has known inputs, an exception path, and measures that reveal whether the process is helping.
Inputs to connect
- Schedule or order details
- Patient registration and coverage data
- Payer eligibility response
- Service and payer rules
Send to a person
- Inactive or conflicting coverage
- Unclear benefit or authorization requirement
- Patient or clinician communication
Measures to watch
- Checks completed before service
- Coverage exceptions by reason
- Time from exception to resolution
A case in the queue
A scheduled visit returns an active plan but the member identifier differs from registration. The robot records the response and sends the mismatch to access staff before the visit instead of silently marking the account ready.
The human role
Judgment stays with your team.
Your team confirms ambiguous coverage, handles patient conversations, and makes decisions that require clinical or payer context.
The intended result
More room for the work that counts.
The goal is fewer preventable surprises at submission and more time for staff to help patients navigate access.
Start with a conversation
Let's talk about patient access.
Tell us where work gets stuck. We will explore the process, the people involved, and where robot workers can make a useful difference.