EligibilityCopilot
Healthcare Eligibility Verification Platform
- Production
- Healthcare
- Automation
Production workflow automation platform used in a psychiatric practice to automate insurance eligibility verification across Practice Fusion, Availity, and CalOptima. The system orchestrates patient verification queues, captures eligibility evidence, generates audit trails, and updates clinical records while preserving human review controls.
Impact
- Reduced manual eligibility verification from ~10 hours/week to under 10 minutes/week
- ~99% reduction in manual verification workload
- Used in production within a psychiatric practice
- Automated eligibility verification workflows across multiple payer portals
- Built queue-based patient processing with resumable jobs and retry handling
- Implemented Playwright browser automation for chart extraction, payer routing, evidence capture, and document updates
- Added SQLite-backed audit logging, reporting, and human-in-the-loop review checkpoints
- Python
- Playwright
- SQLite
- Browser Automation
- Workflow Orchestration
- Practice Fusion
- Availity
- CalOptima