Eligibility Verification Agent

Category: Revenue Cycle & Operations · Signals: Patient demographics · Insurance card · Payer eligibility API · Service codes

Verify benefits and surface coverage gaps before the visit.

Configuration

Field	Description
`endpoints`	Connected payer eligibility endpoints
`service_codes`	Service code set per visit type
`communication`	Patient communication policy
`escalation_tree`	Coverage-gap escalation tree

Expert	Role
Eligibility API Expert	Payer endpoint integration + retry
Coverage Gap Expert	Service code coverage analysis
Copay Calculator Expert	Patient cost estimation
Documentation Expert	Eligibility result logging

Canvas: fhir-query (Coverage) + ehr-sync.

Framework + 24 agents.

Typed expert registry.

Compose your own workflow.

REST surface.