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Talos AI standardizes access to payers through a single, unified API - starting with eligibility verification. Healthcare organizations no longer need to manage dozens of payer integrations, allowing them to accept insurance seamlessly and scale revenue. Our Eligibility Engine handles everything from selecting the optimal mode of communication with the payer (web portal checks, phone calls, EDI, or other payer integration), normalizing and transforming payer data, and delivering standardized eligibility schemas across all payers If you don’t see a payer currently supported, we’ll work with you to integrate it. Talos AI can connect to any regional or national payer with short turnaround time.

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How It Works

  • Send patient, payer, and provider information via the Talos AI API.
  • Talos AI queries payer networks in real time, retrieving eligibility data directly.
  • Receive standardized eligibility responses via webhook callback - ready to use in your application or RCM workflow.

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Use-cases

  • Provide real-time eligibility checks for patients in telehealth or mobile apps.
  • Batch-verify insurance before appointments to save time for staff.
  • Add instant insurance verification on your website to improve lead conversion.
  • Integrate eligibility checks directly into your billing workflow.
  • Verify insurance coverage at patient check-in.
We’re constantly adding new payers. See the Payer List for an up-to-date directory. If you do not see your payer supported, please email us at [email protected] or book a demo, and we’ll get it configured for your use-case. When you’re ready, head to the API reference to start making your first call.