65%
Denial Rate Increase
Denial volumes have surged across all major payers while team sizes haven't grown to match. Every unworked denial is lost revenue.
Payer Calling
Your billing team should not be the one on hold
CuraVoice calls the insurance company, works through the phone menu, waits on hold, and brings your staff member onto the line when a live representative answers.
The problem
Following up on a claim or verifying benefits by phone is mostly waiting. A billing specialist dials, listens to a menu, keys in a provider ID, a member ID and a date of birth, and then holds. The conversation that actually needs their judgment is a few minutes at the end. The rest of the call is time a skilled person spends listening to hold music.
$12–15
Per Manual Call
Staff spend hours on hold, navigating IVRs, and repeating the same information. The true cost of manual follow-up is staggering.
90+
Days in A/R
Unresolved claims pile up in accounts receivable, straining cash flow and creating a backlog that compounds month over month.
What the agent does
- Dials the right line. Each claim or account is matched to its payer and the correct phone number for that payer.
- Navigates the phone menu. It listens to the payer's IVR and chooses the options that lead to a representative.
- Enters identifiers. It keys in NPI, tax ID, member ID and dates by touch-tone when the menu asks for them.
- Waits on hold. However long it takes.
- Brings your staff in. When a live representative answers, your team member is warm-transferred into the call with the claim in front of them.
What your team gets back
Hold time stops being staff time. Handle 10x more calls with zero additional headcount: several calls can be in progress at once, and your specialists join only the ones where a representative is on the line. Every call is recorded and logged, so there is a record of what was said and when.
Where it fits
Payer calling is useful for claim status follow-up, benefits verification and any other workflow where the payer has to be reached by phone. It works from a CSV export of your work queue, so it does not need an integration to get started.
See each kind of call in detail: claim status, benefits verification, prior authorization, denials, appeals and enrollment.
Also on the platform
- Denial management. AI agents research every denial by ingesting data from payer portals, ERA/835 files and payer policies. You get root cause analysis, recommended next actions and automated appeal preparation, reducing resolution time from days to minutes.
- Claims intelligence. Real-time dashboards, automated daily reports and pattern detection across your claims portfolio. Identify systemic denial trends, flag high-priority claims and track resolution rates.
- Staff training and SOP automation. Training modules that onboard new billing staff faster. Generate SOPs from your best performers' workflows and keep quality consistent across the team.
Common questions
What is AI payer calling?
AI payer calling is the use of a voice agent to place calls to insurance companies on behalf of a provider's billing team. The agent handles the parts of the call that need no judgment, such as the phone menu, entering identifiers and waiting on hold, and brings a staff member onto the line when a payer representative answers.
Does the AI talk to the payer's representative?
By default, no. When a live representative answers, the agent warm-transfers your staff member into the call so a person handles the conversation. Your team spends its time on the conversation rather than on hold.
How do we give it work?
You upload a list of claims or accounts as a CSV file. Each row is matched to the right payer and phone line, and calls are placed from the list.
Is there a record of each call?
Yes. Every call is logged with its recording and its outcome.
See a payer call from start to finish
We can run a demo against the payers your team calls most.
Book a Call