AI Agents

Designed to optimize healthcare operations introducing

VerifiAI - Eligibility and Benefits Verification

AI Agent:
VerifiAI - Eligibility and Benefits Verification
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What is

VerifiAI - Eligibility and Benefits Verification

?

VerifiAI is Foji's insurance verification AI agent, built to do exactly what your best insurance coordinator does, only faster and without the manual effort. Instead of relying on clearinghouse responses that return incomplete benefit data, VerifiAI logs directly into payer portals, reads the full benefit breakdown, and writes structured data back into your practice management system automatically. Remaining maximum, deductible, frequency limitations, coinsurance, and pre-authorization requirements are all populated before your first patient of the day arrives. No manual entry required.

Purpose-built for dental practices with deep native integration for Open Dental users, VerifiAI handles the dental insurance verification work that used to take your front desk hours every morning. It also works across healthcare settings where accurate, real-time benefit data directly impacts how smoothly your day runs and how quickly you collect.

Key Features

  • Direct payer portal access — VerifiAI logs into carrier portals the same way a trained employee would, reading the actual benefit screens instead of relying on clearinghouse responses that return incomplete data
  • Full benefit retrieval — pulls remaining maximum, deductible, frequency limitations, coinsurance, age limits, missing tooth clause, and downgrade information automatically
  • Automatic write-back into your PMS — structured benefit data written into the correct fields in Open Dental and Dentrix, no manual entry required
  • Verification PDF generated four days before each appointment — a clean one-page benefit summary formatted around the codes your office uses most
  • Screen recordings of every portal session — your team can see exactly what the carrier showed without logging in themselves, useful for audits and needs attention cases
  • Fully configurable verification schedule — set verifications to run any number of days in advance on a schedule that fits your workflow
  • Supports 40+ carrier portals — Delta Dental, Cigna, MetLife, Guardian, Aetna, United Healthcare, Principal, Anthem, and more
  • HIPAA compliant with encrypted data handling and a Business Associate Agreement available for every customer
  • Works across dental, medical, and specialty practices — purpose built for dental with deep Open Dental integration

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