Check every channel
API, payor portal, and phone, tried in the right order automatically, so no one has to guess which channel will actually have the answer.
Eligibility Rules Are Written Down. Getting a Straight Answer Isn't.
Some coverage answers take three hours on the phone to get. Synthpop's payor agent gets them for you, API-first, with a phone call only when the payor leaves no other way, and writes every result back to your system with no staff time on hold.
See It Resolve a Case
Understand Our Payor
Agent for Yourself
Built for the whole cycle,
not just the call
Always a clear outcome
Every case ends one of two ways: a structured, code-level result, or a documented hand-off to your team when a payor genuinely won't resolve it. Never a silent gap.
Prove every attempt
Every check, call, and result is written back to your system with a full audit trail, so you can show exactly what was verified and how.
TRUSTED BY
Proof you can export, not verifications you hope happened
Every check is captured and exportable, so you can show exactly what was verified, when, and how.
Payor-response records
A structured result for every check: eligibility, benefits, and code-level authorization.
Call and confirmation IDs
Recorded whenever the payor provides one, with a full transcript on hand for every phone verification either way.
Full audit trail
Every attempt across API, portal, and phone, logged, answered or not.
Impact
Measured in
live production
- Over two years in production
- National sleep-care deployment
- Verified at the code level
- No staff on the phone
FAQs
Common questions.
Why is payor eligibility so hard to get a straight answer on?
Rules are standardized but answers are not. Coverage varies by plan and procedure code, portals are incomplete, and many payors still require a phone call. Synthpop checks the API first and only calls when it has to.
How does Synthpop get an answer from a payor?
API-first through portals and clearinghouses. When the electronic response is incomplete, the agent places a phone call, navigates the IVR and talks to a live agent when needed, authenticates, and captures a code-level result.
Do I have to switch platforms?
No. Synthpop layers on your existing PM, EHR, and billing systems and writes every verification back to them.
What happens when a payor won’t resolve?
The agent escalates real exceptions to your team with a full transcript and reference numbers, so nothing gets silently dropped.
Is it secure and compliant?
Yes. HIPAA, SOC 2, and full audit trails on every verification attempt. PHI is minimized and access is logged.
Can I prove every verification attempt?
Yes. Every attempt across API, portal, and phone is captured and exportable, with timestamps and reference numbers, so you can show exactly what was checked and when.
Get in touch
Let's map your payor workflow.
In a working session with your operations team, we'll walk through how eligibility, benefits, and authorization are verified today, identify where incomplete payor responses create delays, and quantify the calls and staff time Payor Agent could remove. In the session, we will:
- Map your API, portal, and phone verification workflows
- Identify where incomplete responses require manual follow-up
- Quantify time spent on payor calls and unresolved cases
- Align on a high-ROI starting point for automation
