Voice calls to payers
Works through insurer phone systems the way a human caller would.
Agents and automationHealthcare billingFlagship
08 / 21
SiriusSolutions:insuranceverificationagent
A voice agent that calls insurers, works through their phone systems, confirms coverage and writes the result straight back into the EHR.
Engagement
Sirius Solutions: insurance verification agent
Verifying a patient’s insurance means a long phone call to the payer, repeated dozens of times a day by skilled billing staff. Sirius needed those hours back — with results written straight into the EHR.
From 20 verifications a day by hand to 50 with the agent — and 100% of results written back to the EHR.
Who the agent frees
Billing staff
Hours returned every day that used to disappear into hold queues.
Clinics
Verifications finished before the patient visit, not after.
Compliance & ops
Every call leaves a clean, searchable record in the EHR.
What the agent does
Coverage confirmation
Confirms what the visit needs to know before the patient arrives.
EHR write-back
Results land in the record automatically — no retyping.
Higher throughput
2.5× a human caller’s pace on the measured Sirius deployment.
How we approached it
Take the hold queue off skilled staff without losing the audit trail.
Step 01 / 04
Instrument the human path
Understand payer IVRs and the exact data that must return to the EHR.
Step 02 / 04
Build the voice agent
AwaazLabs runs verification end to end — calls, confirms, writes back.
Step 03 / 04
Measure real throughput
50 verifications a day versus 20 by hand; about eight hours returned to one staff member daily.
Step 04 / 04
Keep records clean
Searchable outcomes beat sticky notes and half-finished call logs.
Outcome
Billing staff get hours back, verifications finish before the visit, and every call leaves a clean record — measured in production at Sirius.
The need
Verifying a patient's insurance means a long phone call to the payer, repeated dozens of times a day by skilled billing staff.
What we built
A voice agent that calls insurers, works through their phone systems, confirms the coverage and writes the result straight back into the EHR.
Billing staff get hours back every day
Verifications finish before the patient visit, not after
Every call leaves a clean, searchable record
Proof metrics
Verified
50 / day
verifications, up from 20 by hand
Verified
2.5x
the throughput of a human caller
Verified
8 hrs
given back to one staff member, every day
How to read the numbers
- Verified. Measured on the named deployment.
- Industry benchmark. Published third-party reference; our delivery tracked in line with them.
- By design. A property built into the product.
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