The main reason care providers contact an insurance company is to verify benefits.

50% of calls to payers are related to benefits and eligibility – costing providers $40.8 Billion dealing with health plans.

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Sensentia provides a provider system to streamline the benefit verification workflow, determine eligibility, patient responsibility and authorization requirements – saving staff time calling the health plan.

Sensentia achieved incredible results compared to the existing legacy systems.

Sensentia is deployed within the call centers of a Fortune 100 Health Insurance company. Based on the results of our user studies across a variety of plans including ACA, small and large group, Medicare and Medicaid.

Patients usually have questions about their benefits' cost-share and availability

Sensentia makes answering your patient’s questions easy and dramatically improves the efficiency of your staff.

Co-Insurance, Deductibles, Auhorization Requests, Exclusions, Conditions, Co-Pays, Out of Pockets, Referal Requirements, Inclusions, Benefit Maximums Sensentia's web-based User Interface

Inquiries can be made in multiple languages or by using CPT codes

The research of benefits for medical, dental, vision and ancillary services, places of services, and pharmacy products using brand or generic names is done in half the time, capable of reaching 100% accuracy.

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How It Works

Sensentia's core technology automatically models the knowledge in any textual document and answers questions against it. Questions are asked and answered in natural language, structured forms or through automated dialogue helping call centers refine their questions.

Contact us today to discuss how Sensentia can help your business