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Coverready

Eligibility and the prior-auth packet, sitting on the biller’s desk before the visit

enterprise

16 h/mo

Saved

90 min

Setup

11

Systems touched

45

Credits per run

Included in Enterprise · from $7,500/mo

No separate purchase

Deployment
connected
Setup
90 min
Hours saved / month
16
Included from
Enterprise
Credits per run
45

03 — Proof

What is measured, and what is not.

The hours and the setup time are catalog math at a stated volume. Production telemetry is not published yet, and nothing here pretends otherwise.

Catalog math

120 eligibility checks × 6 min in Availity/payer portals (~12h) plus 15 prior-auth packets × 16 min of forms, chart pages, and fax cover (~4h)

Run telemetry

04 — What it does / 5 outputs

Pulls payer eligibility and assembles prior-auth packets for staff to submit.

  • Eligibility snapshot per visit
  • unmatched-plan list
  • prior-auth packet for staff submission

05 — One run

What one run takes in, and what it puts back.

No sandbox on this page yet. This is the real input and output contract from the record, not a demo recording.

In

  • Appointment schedule
  • payer/plan on file
  • eligibility response
  • procedure codes the office flagged as auth-required
  • chart pages the biller maps
  • auth form templates

Out

  • Eligibility snapshot per visit
  • unmatched-plan list
  • prior-auth packet for staff submission
  • submission log
  • hold list for front desk

06 — How it works / 90 min setup

Three steps, then it is furniture.

  1. 01

    Connect Dentrix and Open Dental

    Scoped authorisation, revocable from your IdP or the dashboard.

  2. 02

    Point it at the work

    Appointment schedule, payer/plan on file.

  3. 03

    It runs

    Eligibility snapshot per visit — on a trigger or a schedule, 90 minutes after you start.

07 — Features / 7 listed

What is actually in the box.

  • Night-before eligibility on the next day’s schedule from Availity or the PMS eligibility feed
  • Stale-subscriber and inactive-plan flags copied from the payer response — not interpreted as coverage advice
  • Prior-auth packet from office-mapped forms plus chart pages a biller selected as typical for that procedure code
  • Queue for a named biller to submit; Coverready does not fax “as the practice” without that click
  • Visit hold list when eligibility is unmatched; front desk still calls the patient
  • Does not determine medical necessity, does not code, does not bill, does not appeal
  • Audit log of what was pulled and who submitted; Coverready is not the legal medical record

08 — Data

Does it fit your stack and your data?

Inputs this product consumes and outputs it produces
InputOutput
Appointment scheduleEligibility snapshot per visit
payer/plan on fileunmatched-plan list
eligibility responseprior-auth packet for staff submission
procedure codes the office flagged as auth-requiredsubmission log
chart pages the biller mapshold list for front desk
auth form templates

09 — Integrations / 11 systems

It touches these, and nothing else.

10 — The money

Your hours, your hourly cost.

Two numbers: the hours this product removes at the catalog's stated volume, and the cost of an hour, which only you know.

16

You type this one. We do not know what an hour costs you.

Recovered per month

$800

16 h × $50 an hour, before the credits a run spends.

Where the hours come from: 120 eligibility checks × 6 min in Availity/payer portals (~12h) plus 15 prior-auth packets × 16 min of forms, chart pages, and fax cover (~4h).

11 — Pricing

This one comes with the plan.

Included

Included in Enterprise · from $7,500/mo

  • No separate purchase. Runs spend credits from the plan’s monthly grant.

Per run

45 credits

$0.90 a run at the Starter rate of $0.0200 per credit, less on every tier above it.

Credit class: standard

Every run carries a published hard ceiling. A run that hits it stops and re-quotes instead of billing on.

See how plans and credits work

12 — Security

Runs on nox.markets, acts in your tools.

A scoped OAuth token pulls only the objects the inputs above require, writes the outputs back to your system of record, and keeps the run payload for your workspace retention window. Revoke the token in your IdP or in the dashboard; connector secrets are deleted within 24 hours of a disconnect.

Run payloads are kept for your workspace retention window — 30 days by default on Starter and Growth, 90 on Scale and Enterprise, with zero retention available on Enterprise.

Read the security controls

13 — Customers

Someone like you, running this.

14 — Detail

The long version, including what it will not do.

Front-desk time in a clinic is not “checking insurance.” It is logging into Availity or the payer portal, discovering the card on file is stale, calling the patient, then — for the procedures that need it — building a prior-auth packet from the chart, a form the payer redesigned in March, and a fax that comes back “medical records incomplete.” Coverready is a pack: an eligibility snapshot the night before the schedule, and a prior-auth packet (form fields, attached chart pages the office maps once, cover sheet) queued for a human to send.

It does not diagnose, treat, or prescribe. It does not determine medical necessity, does not code the encounter, and does not approve, deny, or appeal a claim or an authorization. Payer answers are copied as returned; a biller or clinician still decides whether the visit proceeds and still submits the packet. If the practice already runs real-time eligibility inside the PMS and a clearinghouse is posting clean auths, do not stack this on top. Buy it when two people are on hold with payers every afternoon and the auth folder is a shared mailbox.

15 — Questions / 5 answered

Before you buy.

What does it need from me before it can run?

Appointment schedule; payer/plan on file; eligibility response; procedure codes the office flagged as auth-required; chart pages the biller maps; auth form templates. Nothing else is collected for a run.

How long does setup take?

90 minutes. Runs on nox.markets, acts in your tools. You authorise Dentrix, Open Dental, Eaglesoft, athenahealth, DrChrono, Availity, Phreesia, Weave, Google Calendar, Microsoft 365, Google Drive once.

What does it cost to own?

No separate price: it is included from the Enterprise plan upwards.

What does it hand back?

Eligibility snapshot per visit; unmatched-plan list; prior-auth packet for staff submission; submission log; hold list for front desk.

Where does the hours-saved number come from?

120 eligibility checks × 6 min in Availity/payer portals (~12h) plus 15 prior-auth packets × 16 min of forms, chart pages, and fax cover (~4h)

16 — Related / 4 products

More on the Industry Solutions shelf.

17 — Collections / 1 shelves

Where it sits on a shelf.

Coverready runs 16 hours of this a month.

Or keep looking: Industry Solutions · Products for this team · The whole catalog

Included in Enterprise · from $7,500/moTalk to sales