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Verification of Benefits

Benefits verified, at scale, without added headcount.

How a high-volume orthopedic practice uses Earnest to automate VOB checks across payer portals, voice AI, clearinghouses, and fax.

$753K
Recovered from reducing no-shows
34,762
Payer interactions automated in one month
~1,158
FTE-hours of manual payer work saved

Snapshot

Customer
Orthopedic physician group
Volume
570 VOBs per day
Time to Go-Live
6 weeks
Earnest workflow map

Consistent benefit checks, across every modality

Earnest coordinates fragmented payer sources into one verified eligibility record.

Stage 01
Clearinghouse
RTE checks
Stage 02
Payer portal
Plan data
Stage 03
Voice AI
Payer calls
Stage 04
Organization-specific rules
Excel + Docs
Stage 05
Fax + documents
EOBs + auths
Stage 06
Eligibility verified
Coverage confirmed

The Challenge

Verification of Benefits is fragmented across payer portals, phone calls, clearinghouses, and fax. Staff must piece together eligibility, plan details, and authorizations before they can confirm coverage or challenge an incorrect payer response. The work is high-volume, repetitive, and a constant drain on front desk capacity. Worst of all, contacting a patient too late can result in a no-show, leaving money on the table for the practice.

The Solution

Earnest deployed AI agents across payer portals, voice AI, clearinghouses, and fax. The agents verify eligibility and plan details, check practice-specific questions, and push back when payer responses or denials conflict with the available documentation. This work is completed more than a week in advance and repeated across multiple checks, giving the group time to react if a reschedule is necessary or a patient needs to be notified. The result is one Verification of Benefits workflow across every payer channel.

The Results

$753K
Recovered from reducing no-shows
34,762
Payer interactions automated in one month
12,511
EOBs obtained
10,120
Authorizations retrieved

See how Earnest can fit into your revenue cycle.

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“Our team used to piece this work together across portals, calls, clearinghouses, and fax. Earnest handles those channels in one workflow, so we can focus on the coverage issues that need attention.”
VOB lead, orthopedic group