Insurance Eligibility Verification for Gastroenterology Practice Managers with athenahealth
The Problem
Front-desk eligibility checks for Gastroenterology patients run manually against payer portals — patients show up with inactive coverage and the practice absorbs the write-off.
What We Build in athenahealth
AI runs eligibility 72 hours before every appointment, flags inactive or changed coverage, and triggers patient outreach for new info — write-offs from bad eligibility drop 85%. Purpose-built for teams running athenahealth — uses the native API or agent integration so nothing leaves the system of record.
athenahealth Integration Approach
Audit your athenahealth configuration
We map the specific athenahealth objects, custom fields, and workflows the automation needs to touch for your gastroenterology practice.
Build on the athenahealth API or agent
Integration happens inside athenahealth — no data leaves the system, no parallel tool for your team to learn, no license changes.
Human-in-the-loop handoff
Every automation routes exceptions back to a human in athenahealth with enough context to act — AI handles the 80%, your team owns the judgment calls.
See this running in your athenahealth instance
30-minute call. We'll look at your actual athenahealth setup and show exactly how this workflow fits.