Ensure
Automated voice agent calls insurers during medical emergencies to secure correct coding, approvals, and evidence-backed appeals for denied claims.
YouTube Video
Project Description
Medical emergency happening? The last thing you want to do is get on the phone with insurance. However, issues with insurance billing plague many Americans today, whether it’s an incident being incorrectly medically coded, non-insurance covered medication being prescribed, a visit being recorded as an emergency while it wasn’t… Ensure app takes care of these concerns so you can focus on getting the care you need. The app takes your medical visit and insurance details and calls your insurance provider to work to ascertain 1. if your visit is covered 2. the appropriate medical code for your visit 3. the right medications of your visit , and generates a step by step process for the user so that anyone can navigate the insurance process with clarity. With the abundant information that the Realtime model gathers from its knowledge base and from interacting with the insurance company, any patient can comfortably receive care without worrying about costs.
This app uses a React framework and connects to a Neon database. It uses Twilio for the AI phone call and connects the insurance agent with the Realtime model. The step by step guide is generate using OpenAi’s chatcompletions API.