Eligibility Verification

StreamVerify™

Real-time insurance eligibility across 4,000+ payers in under 2 seconds — delivering complete, actionable benefit data instantly.

Core Capabilities

  • Real-time and batch modes with identical normalized JSON schema
  • Complete benefit data: deductible, OOP max, copay, coinsurance, in/out-of-network split
  • Prior authorization requirement flags per CPT and service category
  • Secondary insurance detection and split-benefit calculation
  • Automated re-verification on configurable intervals
  • AI mismatch detection — flags demographic conflicts before the visit
  • Bidirectional sync with major EHR and practice management platforms
Proprietary Payer NetworkUnitedHealthcareAnthem / BCBSCignaAetnaMedicare / Medicaid900+ Payers
Insurance verification
Coverage confirmed in under 2 seconds.
verify_response · 847ms
// StreamVerify · Live
{
 "status": "active",
 "payer": "UnitedHealthcare",
 "deductible_remaining": 1760,
 "copay_office": "$30",
 "coinsurance": "20%",
 "prior_auth_required": false
}
How it works

Eligibility verified across 900+ payers in under 2 seconds.

Real-time benefits, deductibles, and copays returned as structured JSON — before the visit.

AetnaVERIFIED < 2s UHCVERIFIED < 2s CignaVERIFIED < 2s HumanaVERIFIED < 2s BCBSVERIFIED < 2s AnthemVERIFIED < 2s RSAI 900+ payers Patient ID Submitted to RSAI Payer Query 900+ networks Benefits Deductible / copay Verified < 2 sec response

Not sure how the 7 Streams work together?

See how RSAI moves revenue from intake to final payment.

FAQ

StreamVerify — frequently asked questions

It is an automated check that confirms a patient's active coverage and benefits with the payer before the visit — including deductible, copay, coinsurance, and out-of-pocket — in seconds.
StreamVerify queries payers in real time and returns complete, normalized benefit data, flags coverage gaps before the patient arrives, and runs in both real-time and batch modes.
Yes. StreamVerify flags prior authorization requirements per CPT and service category as part of the eligibility response.
Yes. It syncs bi-directionally with major EHR and practice management platforms.
Median response time is under one second; the 99th percentile stays under 4 seconds. Industry baseline for real-time eligibility (270/271) is typically 4–8 seconds.
StreamVerify connects to 900+ commercial, Medicare, Medicare Advantage, Medicaid, and Tricare payers across all 50 states. New payer connections are added monthly.
Yes. Revenue Stream AI is HIPAA-compliant with a Business Associate Agreement available on request. All data is encrypted in transit and at rest, AWS-hosted under HIPAA-eligible services.
StreamVerify is included with every Revenue Stream AI platform plan — no per-inquiry fees for standard practice volumes.