Eligibility and benefits
Is the patient covered, and for what? You know for every patient on the schedule.
- Active coverage and network status
- Copays, coinsurance and deductibles, by code
- In your hands before the patient arrives
Complete eligibility and benefits reporting for medical practicesKnow what’s covered, code by code, before the patient walks in.
Network status, procedure coverage, prior auths and visit limits: the details your portal leaves blank. Ally gets them from the payer for every patient on your schedule, so your front desk can stop chasing payers and focus on patients.
HIPAA compliant
The waitlist is a non-binding letter of intent. Your first 100 completed verifications are free.
Intake · Today’s scheduleLiveT
Today’s scheduleNorthgate PM system · connected
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Ally pulls every appointment from your practice management system and verifies them in one batch.
Try itSync a sample schedule and watch Ally verify every patient, or add one patient yourself. Then open Report to see what lands on your front desk. Simulated data only.
Join the waitlist
Hold your place. Your first 100 are free.
Join the waitlistNon-binding letter of intent. Nothing owed.
Your first 100 completed verifications free
See complete answers on your own patients before you pay anything.
A one-page report on your top three payers
Before you go live, see what each payer answers on its own and what takes a phone call.
First in line to go live
We bring practices on in waves. Waitlist practices are scheduled first.
The whole answer
Your portal stops at the basics. Ally brings back the whole answer.
The electronic check is reliable for the basics. The fields it leaves blank are the ones that turn into phone calls, and Ally takes those off your team.
What the check answers
- Coverage and plan
- Effective dates
- Office visit copay
- Deductible and out-of-pocket
Copay, deductible and out-of-pocket only when the payer returns them.
What Ally brings back
- Everything the check answers
- Whether the code on the visit is covered
- The copay, coinsurance and deductible for that code
- Whether it needs a prior auth or a referral
- Whether your practice is in-network
- How many visits are left this year
- The rep’s name and a reference number, saved with the answer
Get paid sooner
Fix the errors before they become denials.
Many denials start before the visit: coverage that lapsed, a prior auth nobody knew about, a plan your practice is not in network with. Ally flags them before the patient arrives, while your team can still fix them.
Ways to work with Ally
What Ally takes off your team's plate
Prior authorizations
Know whether a visit needs the insurer’s approval before it happens, not after the claim comes back denied.
- Checked for every scheduled procedure
- Payer requirements and reference numbers on file
- Flagged to your team before the visit
Claim status and follow-up
Know where every claim stands with the payer, so nothing sits unpaid unnoticed.
- A status on every open claim
- Denials and missing information flagged fast
- One report instead of a dozen portal logins
How it works
Three steps. None of them your team's.
- 01
We get your schedule
Straight from your practice management system or a simple file. Nobody re-types anything.
- 02
We collect the answers
We go to the payer for every patient and stay on it until nothing is missing. The time on hold is ours, not yours.
- 03
You get it all back
Each patient's coverage, benefits and prior auth needs in one report, before they arrive.
The work you stop doing
Twenty-two hours a month that never shows up on a P&L
65calls that need a human
×20 minaverage time per call
≈~22 hrsof staff time, every month
One batch, run at the start of the day, closes most of that gap before it opens. What used to take a full day of scattered calls now runs in about thirty minutes, before the first patient arrives.
FAQ
Questions practices ask before they start
What is the waitlist, and what am I signing?
A non-binding letter of intent. It tells us you want Ally for your practice and holds your place in line. Nothing is owed, and you can change your mind at any time. We bring practices on in waves, and waitlist practices are scheduled first. You also get your first 100 completed verifications free and a one-page report on your top three payers before you go live.
How is Ally different from my clearinghouse?
Your clearinghouse provides the basics, like active coverage, copays and deductibles. But service specific details like orthotics coverage or prior authorization requirements can still be missing. Ally starts with your clearinghouse, checks the payer portal for missing information, and, when needed, uses AI to call the payer. You get answers down to the service code before the visit, without your staff spending time on the phone.
What systems does Ally work with?
Ally works alongside your existing practice systems. We handle setup and fit into your team’s workflow, so verified benefits are ready before the visit. During onboarding, we confirm how Ally will work with your specific systems.
How long does setup take?
We bring practices on in waves, and waitlist practices are scheduled first. Once your practice is scheduled, setup typically takes a few weeks, depending on your systems and access requirements. We handle setup; you provide system access and a point of contact on your team. There are no setup fees, and billing starts only once you’re live.
How does Ally keep patient data secure?
Ally is built on Microsoft Azure. We’re HIPAA compliant, sign a Business Associate Agreement (BAA) with every practice, and encrypt patient data in storage and in transit. We access only the information needed to verify eligibility and benefits.
Will Ally help reduce claim denials?
Yes. Ally helps reduce denials caused by eligibility and benefits issues, such as inactive coverage or a prior authorization requirement that wasn’t identified before the visit. We flag these issues early so your team can address them. Ally doesn’t prevent every denial or fix coding errors, but it helps you catch coverage problems before they affect a claim.
How much does Ally cost?
Pricing is based on your practice’s monthly verification volume. There are no setup fees, and billing starts only once you’re live. Waitlist practices get their first 100 completed verifications free. Book a quick call, and we’ll put together a quote based on your practice’s needs.
See what belongs in your workflow
Bring us the work your team should not have to chase.
Book a walkthrough and see how Ally can fit the systems your practice already uses.