INSURANCE ELIGIBILITY
Fast, accurate insurance eligibility
Don’t let manual bottlenecks cost you revenue. Automated multi-payer eligibility checks and real-time verification get rid of staff work and help you get paid faster.
“Automated eligibility and copays for every appointment have been a game-changer for staff work at check-in.”
— Shelbi Garesi, Project Manager, Norman Regional Health System
38%
fewer denials in one month with automated eligibility verification at Norman Regional Health System.
-50%
check-in time with pre-visit collection at Horizon Health Services.
100%
of copays collected pre-service at Beal Wellness.
AI-powered rev cycle automation, from eligibility to copay
Luma verifies a patient’s coverage in real time, then gives AI suggestions for the right copay. AI can move straight to reaching out to the patient with their good-faith copay estimate, depending on your business logic.
You see more revenue collected before visits, all without staff action.
150+
hours saved every week with AI copays at one health system.
177%
more payment collections with AI copay automation.
Use cases
Confirm insurance before every visit, with less manual work for staff.
Clean claims, fewer denials
Luma confirms eligibility and matches it to the visit type for fewer denied claims.
Visit prep, end to end
Patients add insurance, then pay based on eligibility, all in one pre-visit checklist.
Eligibility-to-scheduling link
Luma confirms a patient has eligible coverage before confirming the visit.
Multi-payer verification
Luma verifies more than one coverage for a single patient, automatically.
Day-of and walk-in checks
Luma checks last-minute appointments and coverage changes in real time.
Flat copays and self-pay
Luma applies a set copay or self-pay amount customized to your needs.
Let's talk
We’d love to discuss your financial workflows and how Luma’s end-to-end AI platform improves efficiency and revenue. Get in touch to book your personalized walkthrough.
How it works
Luma checks each patient's insurance before the visit, using the right service type for their appointment. Checks run automatically, in bulk, and in real time. Staff see who's covered and what each patient owes, with a fresh check just before the visit.
Eligibility matched to the visit
Luma maps each appointment type to the right service type code. Patients are nudged to confirm the visit and pay only when their coverage is eligible, avoiding copay and billing issues downstream.
Automated, real-time eligibility
Eligibility runs automatically for your whole schedule. If a payer doesn't respond, staff re-run a single check with one click.
Coverage issues flagged early
Luma shows each patient's eligibility status, with coverage detail, last verification, payer alerts, and an audit trail. Staff can spot a problem and fix it before it delays care or payment.
Copays ready to collect
Luma uses the eligibility result to set the copay with AI, then reaches out to the patient to collect before the visit. More payments come in, with less work for staff.
Security and trust
Patients’ healthcare is personal, and we take seriously the responsibility to protect that data. We’re committed to the gold standard in healthcare information security, including the latest AI certifications, and patient information is never shared or sold.
HIPAA-compliant
Zero-retention AI
ISO 27001:2022
HITRUST CSF r2
HITRUST ai2
SOC 2 Type II
US-EU Privacy Framework
GDPR
TX-RAMP Level 2
See how it works
Let’s discuss your workflows and how Luma can speed up your insurance verification for more revenue.