Insurance Eligibility Verified by AI | PilotPractice
For medical, dental & mental health practices

Insurance verified by AI, automatically

A patient texts a photo of their insurance card. The AI reads it, checks eligibility with the insurer in real time and puts the copay, deductible and out-of-pocket on the message in your inbox. Nobody on your team lifts a finger.

1Patient texts the card
Riverbend Family CareText message
Hi Dana, please text us a photo of your insurance card before Thursday’s visit.
Sure, here it is!
MERIDIAN HEALTHPPO · Choice Plus
MemberDANA R LOPEZ
Member IDMHX482019357
Group0864512
RxBIN610014
Delivered
2AI reads it and asks the insurer
MERIDIAN HEALTHPPO · Choice Plus
MemberDANA R LOPEZ
Member IDMHX482019357
Group0864512
RxBIN610014
InsurerMeridian Health PPO
Member IDMHX482019357
Date of birthFrom patient record
  Checking with the insurer, live…
3Your team sees the answer
Eligibility✓ Active
Meridian Health PPO · Choice Plus · in network
Copay$30
Coinsurance20%
Deductible left$350
Out-of-pocket left$2,180
Plan start01/01/2026
Staff time0 min
🔒 On the message in your inbox. Visible to staff only.
0 staff clicksCard to verified coverage in secondsNo portal. No phone call. No retyping.

Example data. Benefits shown are what the insurer returns for the patient’s plan.

  • Real-time check with the insurer
  • Reads insurance card photos
  • 0 staff clicks
  • HIPAA‑compliant
0Portal logins or calls to the insurer
LiveReal-time eligibility answer from the payer
4Numbers your desk asks for: copay, coinsurance, deductible, out-of-pocket
3Ways in: text, email or your online booking page
No more insurance phone calls

Stop calling insurers to check coverage

Checking benefits by phone or portal eats front-desk hours and still leaves surprises at checkout. Here the check runs the moment a card arrives, so the answer is waiting before anyone opens the message.

  • The AI reads the insurer, member ID and group number off the card photo
  • It matches the carrier to the right payer and adds the date of birth from the patient record
  • The insurer’s own answer comes back live, not a guess from the card
  • A card sent twice is only checked once
  • 📱
    Patient texts the cardFront, back, or both, by text or email.
  • AI
    AI reads it and asks the insurerReal-time eligibility request, no one retypes a thing.
  • ✓
    Your team sees the answerActive or inactive, with the patient’s benefits, right on the message.
What comes back

The numbers your front desk actually needs

Every check returns the insurer’s answer for the patient’s in-network benefits, when the payer reports them.

Active or inactiveWhether the plan is active today, plus the plan name and when coverage started.
Copay & coinsuranceWhat the patient owes per visit, so checkout has no surprises.
Deductible & out-of-pocket leftHow much is left this year, so you can set expectations before the visit.
Benefits for your specialtyChecked for the kind of care you give, like dental, mental health or chiropractic.
Carve-out warningA flag when another company manages a plan’s mental health benefits.
Staff review when unsureIf a card is hard to read, nothing is guessed: your team confirms in a short form.
  • 💬
    Text messagePatients reply to your office number with a photo.
  • ✉
    EmailA card attached to an email is read the same way.
  • 📅
    Online bookingA member ID typed on your booking page is checked in the background and saved as a staff-only note.
Works where patients already are

Cards come in however patients send them

You don’t need a new patient portal or app. The AI watches the channels your office already uses and runs the check on its own.

  • Results are for your team only, patients never see them
  • Bills under your practice NPI or each provider’s own
  • Part of the same PilotPractice platform that answers your calls and texts

Stop checking insurance by hand

See a texted insurance card turn into verified coverage, live. Pick a 15‑minute slot and we’ll walk you through it.

Built for healthcare. Secure by default. Real-time eligibility with the patient’s insurer.

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