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Using generative AI to call insurance for healthcare clinics
We use generative AI to call insurance on behalf of healthcare clinics. We save clinics up to 40 hours of calls every week over existing outsourced human solutions. Compared to the existing solutions for benefits verifications: - We're faster -- by default, we have a turnaround of 24 hours compared to typically a 3 day turnaround for competitors - We can reach more payors -- as long as they have a phone line, we can support calling them for benefits. There's quite a few payors in both medical and dental (e.g. Seledent) that have yet to offer a digital retrieval of benefits - We're reliable and consistent -- there is no person-to-person variation or question skipping when it comes to working with software
Health Harbor provides AI-powered assistance to healthcare clinics by handling interactions with health insurance reps for benefits verifications, prior authorizations, and claim follow-up. The system aims to automate IVR navigation and live calls, returning results via API or web portal to reduce staff time spent on insurance calls.
The product offers an AI Agent that autonomously navigates insurer IVR systems, speaks with live representatives, and completes benefits verifications, prior authorizations, and claim status checks. It can perform calls, follow up on denials, and return structured results (including rep name, reference numbers, call end time, transcripts, and recordings) through an API or web portal. An AI Copilot can wait on hold and transfer the call to staff, with ongoing normalization and validation of data against historical results to identify inconsistencies. Pricing is based on request complexity, urgency, and monthly volume, with volume-based discounts available. Completion times vary by urgency (non-urgent typically 1–2 days, urgent same-day).
Who it’s for: healthcare clinics and management organizations that handle insurance verifications, prior authorizations, and AR follow-up
pricing page and product features indicate active pricing model; revenue model shown; statements like 3k+ automated calls daily suggest traction
Alan is the CEO and co-founder of Health Harbor. As a technical CEO, He has five years of previous software experience in AI at Meta and Nuro. While building a hearing aid for himself at Yale, his experiences with medical insurance shaped his conviction to improve the billing process for doctors and patients. Outside of Health Harbor, Alan is an aspiring sushi chef.
Never call insurance again.
Health Harbor automates insurance billing for private practices by having an AI call insurers on their behalf via a HIPAA-certified portal, reducing time spent on coverage determination and speeding revenue cycles from ~4 weeks to 1 week for private practices.
From the original launch (Jul 2023) — may be outdated.
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