How It Works
Four steps. Every call. Every time.
Booking triggers a real-time check
The moment an appointment is booked, Salus fires a 270 eligibility request against the patient's plan.
Benefits parsed and surfaced
Copay, deductible-remaining, coinsurance, and network status pulled and attached to the visit for front-desk review.
Prior-auth flagged where needed
For imaging, procedures, and injectables, PA requirements are flagged with CPT, medical necessity, and payer link.
Re-verified 48 hours out
Salus re-runs eligibility before the visit. Termed policies caught in advance — never at check-in.
In Practice
Real insurance verification scenarios.
Real-Time Eligibility at Booking
Every booking triggers a live 270/271 eligibility check. Active coverage, plan type, network status, and effective dates are confirmed inside three seconds — with results attached to the appointment for staff review.
Prior-Auth Detection & Packet Prep
Imaging, procedures, and injectables get flagged for prior authorization with the CPT code, medical necessity criteria, and payer submission link ready. Human review before submission is the default; nothing goes out without your team's approval.
48-Hour Pre-Visit Re-Check
Two days before every visit, Salus re-verifies coverage. Termed policies, plan changes, and network shifts are caught in advance. Patient outreach for updated insurance runs automatically before the visit — not at check-in.
Works With Your Existing System
No rip-and-replace.
Salus writes back to the EHR you already run on. eClinicalWorks is in production; more integrations available on request.
FAQ
Common questions.
All major commercial payers, Medicare, Medicaid (all states), and most regional plans via clearinghouse integration.
EHR & PM Integrations
We integrate with every EHR across North America.
Epic, Cerner, Athena, eClinicalWorks, Jane, OSCAR, TELUS Health — if your practice runs on it, Salus writes back to it.