SPRY Insurance Eligibility is a core, AI-driven feature within the comprehensive SPRY EMR and Practice Management platform, specifically designed for physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP) clinics. It automates the traditionally manual and time-consuming process of verifying patient insurance coverage.
Key Capabilities
- Real-Time, AI-Powered Verification: Provides instant, accurate eligibility results directly from payer portals, boasting a 95%+ accuracy rate to minimize errors and delays.
- Comprehensive Benefit Details: Unlike basic checks, it retrieves PT-specific information including deductibles, co-pays, pre-authorization requirements, and limitations, enabling staff to inform patients upfront about their financial responsibility.
- No Per-Verification Fees: The feature is included in the subscription model, allowing clinics to perform unlimited checks without incurring additional costs.
- Automated Compliance: Automatically appends the correct KX modifier for seamless Medicare Part-B compliance before claim submission, significantly reducing rejections.
- Seamless Workflow Integration: It is fully integrated with SPRY’s EMR, scheduling, and billing systems, eliminating duplicate data entry and streamlining the entire revenue cycle management (RCM) process from patient intake to claim submission.
By automating eligibility checks, SPRY helps clinics achieve up to 40% faster reimbursements, a 98% claim approval rate, and a 60% reduction in administrative workload, allowing therapists to focus more on patient care.
