Coverage & eligibility
Confirm a patient's insurance is active — and what it covers — before the visit, so claims start life correct instead of getting corrected later.
The platform
Everything your revenue cycle needs, working as one
Most billing teams run on five disconnected tools and a lot of patience. Interopify replaces the patchwork with one system where every step — from coverage check to posted payment — talks to the next.
What's inside
Six capabilities. Zero gaps.
Each one is strong on its own. Together, they remove the hand-offs where revenue usually leaks.
Automatic claim review
Every claim is checked against coding standards and payer-specific rules the moment it's ready. Issues come back in plain language, with the fix suggested.
Direct payer connections
Claims travel electronically to clearinghouses and payers, and every acknowledgement and response is tracked back to the exact claim it belongs to.
Automatic payment posting
Electronic remittances are matched to claims and posted line by line. Underpayments and adjustments are flagged with the evidence attached.
Denial management & work queues
Denials are decoded into plain English, routed to the right person with a deadline, and tracked through appeal — nothing depends on someone remembering.
Reporting & analytics
Collections, aging, denial trends and team productivity in real time. Every number drills down to the claims behind it.
Standards-native
Fluent in the language your payers speak
Interopify is built natively on the electronic standards U.S. payers and clearinghouses require — no fragile add-ons, no translation layers.
Electronic claims (837)
Remittance advice (835)
Eligibility (270/271)
Claim status (276/277)
Authorizations (278)
Acknowledgements (999/TA1)
HIPAA 5010
FHIR APIs
ICD-10 · CPT · HCPCS
Trust & security
Patient data, treated like it matters
Healthcare data deserves more than a checkbox. Security and accountability are designed into the platform from the first line of code.
Encrypted everywhere
Data is encrypted in transit and at rest. Sensitive identifiers receive an additional layer of protection beyond standard storage encryption.
Access on a need-to-know basis
Role-based permissions control who sees and does what, down to individual screens and actions — with every access and change recorded in an audit trail.
Built for HIPAA-regulated work
The platform is designed to support your HIPAA compliance program, and we operate as a business associate with the controls that role demands.
Getting started
Live in weeks — without betting the practice on day one
1 · We map your workflow
Your specialties, payers, volumes and current process. We configure Interopify around how you already work — not the other way round.
2 · We connect your partners
Clearinghouses and payer connections are set up and tested in parallel with your current process, so there's no risky cut-over day.
3 · You switch with confidence
Your team trains on real claims with our specialists alongside. You go live when the numbers prove it's working — and we stay close after.
Next step
See the platform on your own numbers
A short walkthrough with your specialties, payers and volume — and a quote to match.