AI Insurance Monitoring: Never Be Surprised by a Payor Change Again

Annie monitors your entire patient base for insurance changes and catches coverage lapses before they become denied claims.

See Annie in Action
app.getsolum.com/monitoring
Insurance Monitoring 1,204 Patients Tracked
JP
Coverage Change Detected: James Chen
UHC HMO plan terminated effective 03/01/2026. Secondary coverage with Medicaid now primary.
Re-Verification Complete: Sarah Kim
BCBS PPO eligibility confirmed. No changes to benefits or coverage dates.
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Coverage Gap Alert: David Wilson
Cigna coverage lapsed 02/15/2026. No secondary coverage on file.
TPA Update: Lisa Patel
Medicare Part B assigned new TPA effective 03/01/2026. Benefits unchanged.

Proactive Insurance Change Detection

Continuous Coverage Monitoring

Annie watches for plan changes, coverage lapses, and benefit updates across your entire patient base in real time. Instead of checking coverage one patient at a time, your team gets a live view of every active policy and any shifts the moment they happen.

TPA/MCO Change Detection

When a TPA switches MCOs or a payor restructures, the ripple effects can hit dozens or hundreds of your patients at once. Annie identifies every affected patient and alerts your team immediately so you can update records and adjust workflows before claims start bouncing.

Status Change Alerts

Automatic notifications when a patient's insurance status changes. Whether coverage goes from active to inactive, pending, or terminated, Annie flags it immediately so nothing slips through the cracks and your team can act before it affects scheduled visits.

Payor Update Tracking

Track updates from payors including formulary changes, authorization requirement changes, and network status modifications. Annie consolidates these updates into actionable summaries so your team knows exactly what changed and which patients are affected.

Proactive Re-verification

Annie automatically re-verifies coverage at configurable intervals, catching issues days or weeks before they cause claim denials. Set your own schedule per payor or patient group, and let Annie handle the ongoing verification work your staff used to do manually.

Coverage Gap Analytics

Dashboards showing coverage trends, at-risk patients, and payor reliability metrics so you can make informed decisions. See which payors cause the most disruption, which patients need attention, and where your coverage gaps are concentrated.

How It Works

1

Patient Enrolled

When a patient enters your system, Annie adds them to continuous insurance monitoring automatically.

2

Annie Monitors Continuously

Annie checks coverage status, payor updates, and TPA/MCO changes on an ongoing basis across your entire patient base.

3

Changes Detected

When a plan changes, coverage lapses, or a payor restructures, Annie identifies every affected patient and logs the details.

4

Team Alerted

Your team receives clear, actionable alerts with exactly what changed and which patients need attention, before any claims are affected.

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