/Insurance Eligibility Verification
Billing & Insurance

Insurance Eligibility Verification

by Smileworks Team · v1.4.2

Verifies patient insurance eligibility before appointment and updates coverage details in iDentalPro.

#insurance#verification#billing#claims
Free · ~3 min (per patient)

Rating

4.5 / 5

87 reviews

Uses

4.1K

all time

Est. Time

~3 min (per patient)

per run

Updated

Oct 20, 2025

v1.4.2

Screenshots

Insurance Portal Automation

Patient Name

Sarah Johnson

Date of Birth

1988-04-12

Insurance ID

DLT-8820-4471

Provider

Dr. Mike Torres
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About this task

Automates pre-appointment insurance verification to prevent claim denials. Connects to insurance portals via browser automation, checks eligibility and remaining benefits, then writes the results directly back to the patient's insurance record in iDentalPro. Eliminates manual portal logins and reduces claim rejection rates.

How it works

1

Pull upcoming appointments scheduled within next 3 days

2

Identify patients with insurance on file

3

Log in to each insurance portal via Playwright automation

4

Check eligibility, deductible remaining, and annual maximum

5

Record verification results in iDentalPro insurance tab

6

Flag policies with issues for manual review

7

Generate daily verification summary report

Reviews

4.5
87 reviews
5
1
4
1
3
0
2
0
1
0

100% of reviewers gave 4 or 5 stars

DC

David Chen

Billing Manager

Nov 5, 2025

Claim denials due to eligibility issues dropped from 12% to under 2% since we implemented this.

IW

Iris West

Insurance Coordinator

Oct 15, 2025

Works well for Cigna and Delta. BlueCross portal changes have caused occasional failures that need retry.

Insurance Eligibility Verification

Free · ~3 min (per patient) · Billing & Insurance