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CoverCheck

“Will my insurance pay for this?” — asked and written down, inside Claims.

Installs with ClaimsLine, whose screen it works on

Get CoverCheck Open the appAvailable nowHow pricing works →

What it is

A view inside ClaimsLine — installing it installs ClaimsLine, because checking cover is the claims desk’s work, under the claims desk’s permissions, before a claim exists. What it records is what a person actually did — which of the five ways they checked, what the insurer said, the sum insured and balance, the room-rent cap, the co-pay, the exclusions quoted, and the reference the insurer gave — so the admission estimate and a pre-auth have something to quote. There is no insurer API in this deployment and none is pretended.

Who uses it: Built for: Every specialty
Reads: Policy documents, estimates, admission cases
Writes: Cover checks
Never: It does not call an insurer.
Access: Only people whose role includes it — the clinic owner decides who
Your data: Full PHI. Hosted in Boston, United States. On uninstall: Every record stays; only the workflow leaves.

How it works

Check the cover before the money conversationOn Claims, under Cover checks — before the money conversation, find the patient from the claim form above, then fill Procedure asked about; there is no insurer API behind this, only what a person was told.
Say how it was checked and what they saidChecked how offers Insurer portal, TPA desk, Phone, Email or Patient’s own papers; What they said offers Covered, Partly covered, Not covered, Still deciding or Could not reach them.
Record the checkRecord the check is refused without the insurer’s own reference — an answer with none is hearsay a pre-auth cannot quote — unless the answer is Still deciding or Could not reach them, and Could not reach them is refused until what happened is written.
Read the history before quoting a numberThe table below lists every check by patient, payer, procedure, how it was checked, the answer, the sum insured and the insurer’s own reference, newest first.

Rules it keeps

What it does not do, by design. A listing with only benefits is an advertisement.

It does not call an insurer.

Nothing here is automated: a person checks and types what they were told.

It does not accept an answer with no insurer reference behind it — only “pending” and “could not reach them” may have none — and a refusal has to name the exclusion that was cited.

It does not guarantee payment.

AI in CoverCheck

AskQuestions about what is on screen — “What needs attention in CoverCheck today?” — answered with the records it read.

DraftSummaries and notes for the team, marked as drafts until a person signs.

Every answer shows its sources. Nothing AI writes is saved until a person accepts it.

See it on screen

CoverCheck — Claims — Write down what the insurer said about cover, before the claim — 01Claims — Write down what the insurer said about cover, before the claimCaptured from the running demo clinic

01Claims — Write down what the insurer said about cover, before the claimCaptured from the running demo clinic

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Questions clinics ask

What does CoverCheck do?

“Will my insurance pay for this?” — asked and written down, inside Claims. A view inside ClaimsLine — installing it installs ClaimsLine, because checking cover is the claims desk’s work, under the claims desk’s permissions, before a claim exists. What it records is what a person actually did — which of the five ways they checked, what the insurer said, the sum insured and balance, the room-rent cap, the co-pay, the exclusions quoted, and the reference the insurer gave — so the admission estimate and a pre-auth have something to quote. There is no insurer API in this deployment and none is pretended.

What data does CoverCheck read and write?

CoverCheck reads policy documents, estimates, admission cases and writes cover checks. Its data class is Full PHI. Every app works on the same patient record — nothing is copied into a silo.

What does CoverCheck deliberately not do?

It does not call an insurer. Nothing here is automated: a person checks and types what they were told. It does not accept an answer with no insurer reference behind it — only “pending” and “could not reach them” may have none — and a refusal has to name the exclusion that was cited. It does not guarantee payment.

What happens to our data if we uninstall CoverCheck?

Every record stays; only the workflow leaves.

Is CoverCheck available today?

Yes — CoverCheck is live in clinics today. Set up your practice on MedAppz and install it from your dashboard.

Want to see CoverCheck running on your own patients?

Tell us what you run and we will show you this app inside a practice shaped like yours — or answer the question the page above did not.

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