VeriPhy Health didn't come out of a software lab. It came off a real front desk — thousands of eligibility checks across Availity, UnitedHealthcare, Oscar, Cigna, Florida Medicaid, and HealthSun, one patient at a time, until the obvious question became: why is a person still doing this by hand?
VeriPhy Health is desktop software that verifies insurance eligibility for medical offices and billing companies. It was built by a working medical biller who runs eligibility for Florida specialty practices daily — which is why it searches like a verifier, not a generic bot, and knows the small quirks of each payer portal that trip everyone else up.
Every morning, offices burn hours checking tomorrow's schedule: log into Availity, look up the patient, read the copay and deductible, note whether a referral is needed, save the proof, move to the next one. Repeat for United, for Oscar, for Cigna, for Florida Medicaid, for HealthSun. It's slow, it's repetitive, and a single missed detail — an inactive plan, a grace-period flag, a deductible that hasn't been met — turns into a denied claim weeks later.
VeriPhy was built to do that whole grind the way an experienced verifier would, but for the entire schedule at once — and to leave a clean PDF trail behind every patient it finds.
It doesn't just paste a name and grab the first hit. It handles the same judgment calls a person makes — name variants, ID-only lookups, which line is the active plan — because it was taught by someone doing exactly that all day.
Availity's fill order, United's payer-ID family, Oscar living off Availity, Florida Medicaid's lookup rules, HealthSun's search flow — the details that only show up after you've done it thousands of times.
Inactive coverage, unmet deductibles, referral requirements, grace-period warnings, a secondary plan the patient forgot to mention — the things that become denials if nobody catches them today.
Specialty offices — orthopedics, hand and surgery, ENT, dermatology, chiropractic, ophthalmology — and the independent billing companies that verify for many of them. If someone on your team spends the first hour of the day in payer portals, VeriPhy was built for that person.
We'd rather tell you what VeriPhy doesn't do up front. It pulls office-visit and specialist benefits — copay, deductible, out-of-pocket, plan type, referral and secondary-coverage flags — and saves a payer PDF for each patient it finds. It does not process prior authorizations, and it does not decide whether your provider is in a patient's network. It's a verification aid that does the legwork; the clinical and coverage judgment stays with you.
Payers change their portals and their plan rules constantly. Our founder keeps doing the real work — calling payers, confirming which specific plans apply a deductible or require a referral — and folds those answers back into the tool. That growing library of confirmed plan rules is something a lab-built product simply doesn't have.
Founder · Medical Billing Specialist · Miami, FL
I've spent years verifying insurance eligibility for Florida specialty practices — the same Availity, UnitedHealthcare, Oscar, Cigna, Florida Medicaid, and HealthSun lookups VeriPhy now runs for you. I built it because I was tired of watching good offices lose money to denials that a careful morning verification would have caught. Every rule it knows, I confirmed by doing the work myself.
See what VeriPhy Health checks for every patient with a supported payer — and how it keeps your data on your own machine.
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