Don’t stop at covered
Interra Health helps you get a clearer view of medical and pharmacy benefits earlier, with a trusted real-time eligibility and benefits intelligence platform that uncovers coverage, patient responsibility and what comes next.
Turn coverage questions into next steps
Interra Health connects Insurance Discovery, eligibility verification, and benefits information into one view, so you can help the patient while retaining revenue and avoiding rework.
Find the coverage
Insurance Discovery uses automated coverage detection to identify the patient and available coverage, even when information is missing or incomplete.
Understand the details
Confirm medical and pharmacy benefits, patient responsibility, and other coverage requirements through real-time eligibility verification.
Move forward
Put verified information to work, whether that’s an eligibility check, registration, claim submission, or another downstream action, so teams can make the next decision with more confidence.
More than a
coverage check
Bring insurance discovery, insurance eligibility verification, patient cost information and claims visibility together for a more complete view of coverage. Verified eligibility and benefit information is supported by customizable business rules engines and API integration, tailored to your needs, and gives healthcare workflows a more reliable foundation to work from.
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Find in- and out-of-network medical and pharmacy coverage with API-powered eligibility verification software.
Real-time eligibility verification including:
- Medical
- Dental eligibility with D-code
- Vision eligibility including non-EDI payers
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Find patient information, even with missing or incomplete inputs.
Benefits information including:
- Insurance eligibility check
- MBI Lookup
- Recursive Medicare Advantage
- Recursive Medicaid Plan Sponsor
- Patient cost estimator and financial clearance
- Patient Demographics Validator
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See where a claim stands and where follow-up might be needed.
Claims visibility including:
- Claim Status Inquiry, including denial visibility, payment and remittance
Know what comes next with eligibility intelligence, powered by pVerify, an Interra Health solution
pVerify, an Interra Health solution, powers Insurance Discovery and Interra Health’s broader eligibility and benefits capabilities, helping you discover coverage, verify benefits, understand patient costs and check claim status. Explore how Interra Health brings coverage, benefits, patient cost and claims information together so you can act earlier and patients face fewer downstream surprises.
Frequently Asked Questions
Questions? We have answers
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Yes. Interra Health uses automated coverage detection to help identify available medical and pharmacy coverage even when patient information is incomplete. This gives teams a more reliable starting point for eligibility verification, financial clearance and downstream workflows.
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Yes. Interra Health supports API-powered eligibility verification, allowing organizations to bring real-time eligibility and benefits information into existing systems and workflows. Customizable business rules can further tailor how coverage information is surfaced and used based on organizational needs.
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Interra Health goes beyond a basic coverage check. Organizations can verify medical, dental, vision and pharmacy eligibility; identify Medicare and Medicaid coverage; understand patient cost and financial clearance information; validate patient demographics; and check claim status, including denial, payment and remittance information.