How a High-Volume Anesthesia Group
Cut Eligibility Verification Time by 85%
A Pennsylvania-based 100+ bed hospital was spending hours each day verifying eligibility across payer portals for thousands of anesthesia procedures each week.
With CombineHealth, the team automated eligibility verification across complex payer workflows — helping them verify coverage faster, catch errors earlier, and submit cleaner claims.
Eligibility Verification Transformed
Eligibility Verification Had Become a Bottleneck Before the Claim Was Even Created
With thousands of anesthesia procedures each week, the hospital's billing team was managing a high volume of eligibility checks across multiple payers.
Staff had to pull patient information from face sheets, move between dozens of payer portals, and repeatedly try different combinations of patient name, date of birth, insurance ID, and address to find valid coverage.
The complexity increased further for patients with dual insurance plans, where multiple lookups were often required.
A typo, formatting difference, or missed eligibility check could result in a failed match — creating downstream delays and increasing the risk of eligibility-related denials.
CombineHealth Automated the Repetitive Work While Adapting to Payer-Specific Requirements
The anesthesia group partnered with CombineHealth to take eligibility verification off the billing team's plate.
CombineHealth's AI-powered Eligibility Verification Platform, Mark AI:
Reads patient face sheets and extracts key information such as name, date of birth, insurance ID, and address.
Identifies the appropriate payer portal and verification approach based on the insurer.
Automatically retries failed matches using alternate combinations of patient information.
Detects dual-plan coverage so teams can identify additional insurance without repeating the process manually.
Instead of switching between portals and repeatedly cross-checking information, the billing team receives the eligibility information needed to keep the revenue cycle moving.
What Previously Took Hours Can Now Be Completed in Minutes
Eligibility verification for 150 patients, work that typically took the team an entire day, was completed in under an hour with CombineHealth.
The results:
Reduction in eligibility verification time
Helping the billing team reclaim time previously spent on repetitive payer lookups
Of claims flagged for eligibility issues, helping prevent denials
“It's like CombineHealth knew what we were trying to do, and just got it done!”
— Revenue Cycle Manager, Pennsylvania Anesthesia Group
Today, the billing team can verify coverage in minutes, spend less time chasing eligibility errors, and move cleaner claims forward from day one.
See how CombineHealth automates eligibility verification from intake to verified coverage
Download the case study to see how CombineHealth pulls patient information from face sheets, navigates payer-specific verification workflows, handles failed matches and dual coverage, and presents the verified eligibility information back to the team.
