Eligibility and benefits
Is the patient covered, and for what? We find out for every patient on your schedule.
- Active coverage and in-network status
- Copays, deductibles and what the patient will owe
- Back to you before the patient arrives
Complete benefits verification for medical practicesEvery patient's benefits, before they walk 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 and focus on patients.
HIPAA compliant
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. Claims, Tracking, Payments and Reports preview what’s coming next. Simulated data only.
The second check
Your portal gives you half the answer.
The electronic check is reliable for the basics. The fields it leaves blank are the ones that turn into phone calls.
The check answers
- Coverage
- Copay
- Deductible
- Out-of-pocket
It often will not tell you
- Whether you are in-network
- Whether this specific procedure is covered
- Whether permission is needed first
- How many are left this year
Get paid sooner
Fix the errors before they become denials.
Claim denials and billing issues trace back to eligibility and registration errors that can't always be foreseen by your staff. We navigate the portal and untangle the data so claims get paid sooner and without the headaches.
Ways to work with Ally
What Ally takes off your team's plate
Prior authorizations
Know whether a visit needs approval from the insurer before it happens, and what it takes to get it.
- Checked for every scheduled procedure
- Payer requirements and reference numbers recorded
- Flagged to your team before the visit, not after
Claim status and follow-up
We track down where your claims stand with the payer and report back, so nothing sits unpaid unnoticed.
- Status pulled from payer portals and calls
- 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 check with the insurer electronically, log into the payer portal, and call the payer if anything is still missing.
- 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
How is Ally different from my clearinghouse?
Your clearinghouse provides the basics, like active coverage, network status, 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?
Most practices are live within a few weeks, depending on their 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. 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.