Insurance Eligibility Verification
Use Mimic to automate repetitive payer portal eligibility checks.
Typical workflow
- Ingest appointment or patient list.
- Launch eligibility workflow per row.
- Capture active/inactive coverage status and key policy metadata.
- Write structured outcomes back to scheduling or billing systems.
Inputs
- Member identifiers
- Date of birth
- Payer and plan context
- Service date
Outputs
- Eligibility status
- Coverage dates
- Notes and portal evidence
- Error reason when verification fails
Success metrics
- Completion rate by payer
- Median runtime per check
- Percentage of cases requiring manual intervention
Operational tips
- Partition batches by payer to isolate failures quickly.
- Keep credential health checks in daily runbooks.
- Escalate repeated stop conditions to workflow maintenance.