Automate benefits verification
end-to-end using AI
Ember works your schedule ahead of the visit — checking eligibility, plan details, and patient responsibility across payer portals and clearinghouses, and writing verified coverage back to the chart.
Trusted by specialty groups and health systems
Why Ember?
Ahead of the visit
Runs the schedule days in advance so issues surface before the patient arrives.
Portal-level detail
Captures benefits that 270/271 transactions miss by reading payer portals directly.
Written back clean
Coverage, copay, deductible, and auth flags land in the right EHR fields.
Denials prevented upstream
Eligibility errors get fixed before they become front-end denials.
What the benefits verification agent does
01
Automate benefits verification end-to-end using AI
Ember reliably pulls upcoming visits from your EHR, runs eligibility and benefits checks directly in payer portals and clearinghouses, and writes verified coverage details back to the patient record.
02
Map benefits to the right fields, every time
Ember recognizes information on insurance portals and automatically maps it to the right fields, getting smarter over time.
03
Human-in-the-loop verification
Discrepancies — inactive coverage, coordination-of-benefits issues, missing plan details — route to staff for a decision before the visit, with every check logged.
Explore more Ember agents
One orchestration layer, purpose-built agents for every step of the revenue cycle.
Prior Authorizations
Verifies requirements, assembles clinical documentation, and submits to payer portals and ePA systems.
Explore the agentMR Requests
Validates authorization, retrieves the right records from your EHR, and delivers them securely.
Explore the agentPayment Posting
Matches ERAs to claims, posts payments and adjustments, and reconciles against deposits.
Explore the agentAR Follow-Up
Checks claim status in payer portals, resolves holds, and drives outstanding claims to payment.
Explore the agentUnderpayments
Compares every remit against contracts and fee schedules, flags variances, and drives recovery.
Explore the agentDenials Management
Predictive denial scoring, clinical reasoning on root cause, and payer-specific appeals with cited evidence.
Explore the agentMedical Necessity
Evaluates orders against payer criteria, finds documentation gaps, and assembles clinical evidence.
Explore the agentRevenue Integrity
Validates coding and documentation before claims go out — catching undercoding and denial-prone errors.
Explore the agentDocumentation
Drafts compliant notes, letters, and forms from EHR data, ready for clinician review and sign-off.
Explore the agentHow it works
01
Read the schedule
Ember picks up upcoming appointments from your EHR or PM system.
02
Verify across payers
Checks eligibility and benefits in portals and clearinghouses.
03
Write results back
Verified coverage and patient responsibility land in the chart.
04
Flag what needs a human
Coverage gaps and COB conflicts route to staff with context.
Numbers from live deployments.
Not projections. Not modeled estimates. Measured customer outcomes.
57%
Fewer denials
3.3x
ROI in month one
100+
FTE hours saved / month
+9.3%
Net revenue per appointment
Built for oversight
Compliance & oversight
Every verification stamped with source, payer, and timestamp.
Full audit trail of what was checked and what changed in the record.
Verification rules configurable by payer, plan, and visit type.