Some payers don't have portals. Others have portals missing half the data. EVRGRN's Voice AI does what your front desk has to — calls them, waits on hold, and returns clean structured benefits.
Payer, member ID, question — via worklist or API.
Dials, navigates IVR, verifies NPI, waits on hold.
Structured JSON + recording, ready for your PMS.
Tooth restrictions for D1351 and D1354
Annual maximum remaining + ortho lifetime max
Crown frequency + missing tooth clause
Latest transcript · Cigna
"……asking about tooth restrictions for D1351 and D1354. Sealants covered on permanent molars only: teeth 2, 3, 14, 15, 18, 19, 30, 31, through age 16. D1354 limited to once per tooth per 6 months…"
See it run against your real worklist.