Verity Health is now live — explore the IQ Suite

Real-time eligibility live for 3,400+ payers

Intelligent Revenue Cycle.
Powered by AI.

The IQ Suite for Healthcare Revenue Cycle Intelligence. Verify eligibility across 3,400+ payers in under 2 seconds. Verity Health connects to any PMS or EMR via FHIR R4 — and works from day one.

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3,400+ Payers
< 2s Response
HIPAA Ready
99.2% Uptime

Eligibility Result

Aetna · Member #AET-8842910

ACTIVE

Deductible (Ind)

$1,500

$847 remaining

Out-of-Pocket Max

$4,000

$2,100 remaining

Copay

$30

Primary Care

Coinsurance

20%

After deductible

✦

AI Analysis: Patient is in-network. Deductible 56% met — collect $30 copay at time of service.

Trusted by practices across the US

HealthFirst Medical
Summit Orthopedics
ClearPath Billing
NovaCare Health
PrecisionMD
Apex RCM

The RCM problem is expensive and solvable

Manual processes in revenue cycle management cost practices time, money, and staff morale — every single day.

2–3 hrs/day

Lost to manual prior auth per staff member

Staff spend hours on hold and faxing insurance companies for authorizations that should take minutes.

3–5%

Of revenue lost to preventable claim denials

Denials from eligibility errors, missing auth, and incorrect coding drain millions from practice revenue annually.

35%

Of denials caused by eligibility errors caught too late

By the time a denial lands in your queue, the patient is gone and rework costs 3× the original check.

Six modules. One platform.

Everything your revenue cycle needs — built to work together from day one.

Live Now

EligibilityIQ

Verify coverage, deductibles, copays, and coordination of benefits in real time across 3,400+ payers. Works with EDI 270/271 and FHIR R4. No manual phone calls.

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New

ProviderIQ

Search 7M+ NPI providers from the NPPES registry. REST API for PMS and EMR integrations. Bulk export in CSV, PDF, JSON, or FHIR R4.

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Coming Soon

PreAuthIQ

Submit, track, and appeal prior authorizations automatically. AI drafts clinical justifications from your EHR notes. Cut auth time by 60%.

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Coming Soon

DenialIQ

Catch 94% of denial-prone claims before submission. AI flags missing modifiers, insufficient auth, and payer-specific rules — before the claim leaves your system.

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Coming Soon

ConnectIQ

Connect to Epic, Cerner, athenahealth, and 20+ PMS platforms via FHIR R4. Set up in hours, not months. No custom dev required.

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Coming Soon

CodeIQ

AI-assisted CPT and ICD-10 coding that reads clinical notes and suggests codes with confidence scores. Cut coding time by up to 50%.

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Medical billing professional verifying patient insurance eligibility on a laptop
Available now

EligibilityIQ — Live

Verify coverage in under 2 seconds.

Stop calling payers. EligibilityIQ checks deductibles, copays, coinsurance, and coordination of benefits in real time across 3,400+ payers, so your front desk knows exactly what to collect before the patient walks in.

  • EDI 270/271 and FHIR R4 support out of the box
  • Active / inactive status with plan-level detail
  • Deductible and out-of-pocket remaining for every encounter
  • AI-generated insights flag in-network status and patient responsibility
Try EligibilityIQ
Healthcare team collaborating on a provider directory and credentialing workflow
Available now

ProviderIQ — Live

Every provider, every NPI, one API.

Search 7M+ NPI providers from the NPPES registry with sub-100ms lookups. ProviderIQ powers your provider directory, credentialing workflows, and PMS integrations with a single REST API. Bulk export in CSV, PDF, JSON, or FHIR R4.

  • 7 million+ NPI records refreshed continuously from CMS
  • Search by name, specialty, location, or NPI
  • REST API with API keys, rate limits, and usage dashboards
  • Bulk export and webhook updates for downstream systems
Explore ProviderIQ

Up and running in minutes

No IT project. No 90-day implementation. Just connect and go.

1

Connect

Link your PMS, EHR, or clearinghouse via FHIR R4 or HL7. Takes minutes.

2

Configure Payers

Select from 3,400+ payers or add custom clearinghouse IDs. Done once.

3

Verify Real-Time

Run eligibility in under 2 seconds — from the schedule, at check-in, or in bulk.

4

Reduce Denials

AI flags problems before submission. Your first-pass rate climbs week over week.

Powered by CMS Blue Button 2.0

Transparent coverage for your Medicare patients

Give Medicare patients transparent access to their coverage. Patients connect once and see their Part A, B, C, D status, claims, and benefits instantly — no phone calls to their insurance company.

  • Part A, B, C, D coverage status in real time
  • Claims history with Medicare paid vs. patient cost
  • Automatic expiry warnings for Part D drug coverage

Patient Coverage Portal

Part AActive

Hospital

Part BActive

Medical

Part CActive

Medicare Advantage

Part D⚠ Expiring Soon

Prescription Drug

✦ AI Tip: Your prescription coverage ends in 18 days. Ask your doctor about renewal options at your next visit.

Works with your existing stack

Pre-built connectors for the EHRs, PMS, and clearinghouses your practice already uses.

EP

Epic

FHIR R4
CE

Cerner

FHIR R4
AT

athenahealth

FHIR R4
EC

eClinicalWorks

FHIR R4
KA

Kareo

API
NE

NextGen

HL7
ME

Meditech

HL7
AV

Availity

API
ST

Stedi

API
CM

CMS Blue Button

FHIR R4

< 0s

Eligibility response time

0.0%

First-pass acceptance rate

0+

Payers connected

0%

Less prior auth time

Transparent pricing. No surprises.

Start free. Pay only for what you use.

MonthlyAnnual Save 20%

Starter

For solo practices and small billing teams.

$199/provider/mo
  • Up to 3 providers
  • 500 eligibility checks/mo
  • Real-time eligibility
  • 30-day check history
  • Email support
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Most Popular

Professional

For growing practices that need more power.

$399/provider/mo
  • Up to 15 providers
  • Unlimited eligibility checks
  • AI billing insights
  • Patient Medicare portal
  • 90-day history + exports
  • Priority support
  • Prior auth (when available)
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Enterprise

For health systems, MSOs, and large billing companies.

Custom
  • Unlimited providers
  • Unlimited checks
  • Full AI suite
  • FHIR R4 / HL7 integrations
  • Custom SLA
  • Dedicated success manager
  • On-prem or cloud deployment
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Practices that chose smarter billing

“

We went from spending 45 minutes per eligibility batch to under 3 minutes. Verity Health paid for itself in the first week. The AI flags saved us from two denials in month one alone.

SM

Sarah Mitchell

Practice Manager · Summit Orthopedics

“

My billing team was skeptical of AI tools after a bad experience with another vendor. Verity Health is different — the eligibility results are accurate, the insights are actually useful, and setup took an afternoon, not months.

JO

Dr. James Okafor

Cardiologist & Practice Owner · PrecisionMD

“

We manage billing for 12 practices and Verity Health is the first platform that actually scales with us. Multi-org support, fast API, and the Blue Button integration lets patients resolve their own coverage questions before appointments.

RT

Rachel Torres

Director of Revenue Cycle · Apex RCM

Ready to transform your revenue cycle?

Join hundreds of practices using Verity Health to verify eligibility, reduce denials, and get paid faster.

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No credit card required · HIPAA compliant · Setup in under 30 minutes