Healthcare · United States

Insurance eligibility checks went from 4-5 days to minutes.

A US healthcare provider confirmed treatment insurance coverage by calling insurers by hand, and the answer took 4-5 days to come back. Super In Tech replaced that with an API-connected eligibility workflow that returns a result in minutes, interprets what the insurer sent back, and presents it in a form the team can act on. GoHighLevel Conversation AI and Voice AI support the treatment enquiry journey around it.

Insurance Eligibility Checks, From 4-5 Days to Minutes - US Healthcare Provider Healthcare Automation Case Study | Super In Tech
Results

The numbers speak for themselves.

Minutes
Eligibility result turnaround, down from 4-5 days
4-5 days
Manual insurer-call cycle removed from the process
0
AI layers on the enquiry journey: Conversation AI and Voice AI
The Challenge

The answer arrived days after the question was asked.

01

Coverage was confirmed by calling insurers manually, one enquiry at a time. The checking process took 4-5 days, so the information needed to advise a patient was not available in the window when their interest was highest.

02

Raw eligibility responses are not written for humans. Even once data came back, someone had to read and interpret it before it could support a next-step decision.

03

Manual checking does not scale with enquiry volume. Every additional enquiry added another call, another wait, and another person-hour, so throughput was capped by staff time rather than by demand.

04

The enquiry journey wrapped around the check, answering questions and following up, was competing for that same staff time.

Our Solution

An API-connected checking workflow with AI on the enquiry journey.

01

Eligibility API Integration

Connected an insurer eligibility API into the workflow, so a check that previously meant a phone call and a multi-day wait returns a result in minutes.

02

Response Interpretation

The workflow analyses what the insurer returns and renders it readable, so the response drives a next-step decision directly instead of needing someone to decode the payload first.

03

Conversation AI on Treatment Enquiries

GoHighLevel Conversation AI handles the text side of the treatment enquiry journey, so the questions around a check are covered without pulling staff off other work.

04

Voice AI Support

Voice AI covers the spoken side of the same journey, keeping the enquiry path consistent whether the patient types or calls.

Services Used
Timeline:Delivered inside an ongoing GoHighLevel automation engagement
FAQ

Common questions.

No, and the distinction matters. This workflow speeds up eligibility checking, which is the step that tells you what coverage looks like. Final insurer approval and payment are separate processes with their own rules and timelines, and nothing here changes them.

Yes. We integrate external APIs into GoHighLevel workflows, including handling the authentication, the request and response mapping, and the interpretation step that turns a raw payload into something a team can read and act on inside the CRM.

Any workflow that currently depends on a person retrieving and interpreting information from an outside system. The same approach, connect the API, interpret the response, surface it where the decision gets made, transfers to verification, lookup, and status-checking processes well beyond insurance.

Healthcare automation

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