Module 05 · The Autonomous Practice

Insurance Verification and Cost Estimates

Eligibility checked before the visit, and a patient estimate produced without anyone opening a payer portal.

What you get

• The two prompt design. You run a setup prompt once with your own fee schedule, and what comes back is a daily use prompt with your contracted rates already built in. Your rates never leave your own saved prompt
• The browser script that pulls your eligibility report into the exact format the clearinghouse batch box expects
• Three de-identified sample benefit reports covering traditional Medicare, a commercial PPO, and a Medicare Advantage HMO, including the edge cases that break a naive estimate

Educational materials only. Any estimate produced by any workflow is an estimate, not a guarantee of coverage or of patient responsibility. You will need your own subscriptions to the third party tools involved. Have your own counsel, IT advisor, and HIPAA compliance officer review anything before you deploy it.