Every eligibility check returns a 271 response. Raw 271 data requires interpretation to be actionable.
Manta's AI interprets it against the specific CPT code and planned treatment.
manta.health/product/eligibi…
Mondays. Few words conjure up more dread in a billing office.
Patients seen, treated, and sent home without paying. Statements to send. Balances aging.
Manta emails and SMS' payment instructions to patient. All before your first latte.
manta.health/product/estimat…
ALT A calm healthcare billing professional sips coffee at a bright office desk beside a laptop and phone showing simplified payment icons. Large text reads: “Collect before you treat. Mondays, simplified.”
A clean 271 eligibility response confirms a patient has active coverage.
But this is just the beginning.
For specialty practices, that gap is where pre-service revenue risk lives.
Allan's latest: manta.health/blogs/eligibili…
We are pleased to share what Manta does across our new product pages.
Four pillars, one connected workflow.
This is what Coverage Intelligence looks like in practice.
manta.health/product
Most practices treat no-shows as a scheduling problem.
Better reminders. Shorter confirmation windows. Waitlists.
The root cause is usually simpler: the patient had no financial stake in the appointment.
Conor wrote the longer version today.
manta.health/blogs/patient-f…
Prior authorization secures the payer's commitment.
Patient financial clearance secures the patient's.
Most practices complete one before care. Fewer complete both. That gap is where the revenue goes. manta.health/discover/patien…
January 2027. CMS mandates FHIR-based prior authorization APIs for payers.
Da Vinci PAS is the framework behind it. Most practices don't fully understand what it does — and what it leaves for them to solve.
Allan broke it down today, plainly.
manta.health/blogs/da-vinci-…
Protected revenue = Verified Eligibility x Prior Auth Accuracy x Patient Financial Clearance — Coverage Leakage.
Every variable is an interpretation problem. Most practices only solve two of the three.
Full breakdown: manta.health/blogs/what-is-c…
Perfect prior authorization. Patient no-shows anyway.
The payer side of coverage is only half the equation. Pre-payment collection is what closes the loop on the patient side — before care is delivered, not after.
Both have to happen upstream. That's Coverage Intelligence.
Prior auth delays don't start at submission.
They start at scheduling — when coverage requirements are unknown the moment the procedure is booked.
For specialty practices, that timing gap costs thousands per incident.
@AllanCutler on the structural fix: manta.health/blogs/how-speci…
EHRs store. Clearinghouses transmit. Billing platforms reconcile.
All important. None of them interpret.
Learn about the missing layer: manta.health/blogs/the-missi…
Rocky Mountain Eye Center. Ophthalmology practice. High PA volume. Real numbers:
→ 11–12 days to approval → 2.8 days
→ 5 PA specialists → 1
→ Net denial rate: 3% → 0.5%
→ Patient drop-offs: down 75%
Same payers. Same staff. Different intelligence.
$48B in healthcare revenue lost to denials in 2025. Up 25% from the year before.
The industry's answer: more staff, better workflows, faster submissions.
The denial rates kept climbing anyway.
You can't react your way out of an intelligence problem
AI isn’t magic.
It takes messy, scattered information and turns it into something useful.
Like a recipe from a random spice rack.
That’s exactly what’s missing in coverage workflows today.
$68K per physician on prior auth admin.
15% of denials tied to auth.
The legacy response: more people, more process.
But the issue isn’t workload.
It’s upstream failure.
Learn more: manta.health/discover/us?utm…
The front desk isn’t trying to avoid billing conversations.
They just don’t always have the full picture.
Eligibility checked Auth started Requirements assumed
So the visit moves forward… and the risk moves with it.
It’s 4:55 on a Friday.
Monday’s procedure is at risk.
Eligibility changed.
Auth doesn’t match.
No one’s sure what the patient owes.
You’re chasing answers before the weekend…
or rescheduling care.
Manta can help: manta.health/discover/us?utm…