Case Study: a PE-backed behavioral health operator automates eligibility and benefits verification with Ideas2IT Technologies

PE-backed Behavioral Health automates EVBV for $0.026 per patient with Ideas2IT Technologies

Ideas2IT Technologies built an automated EVBV platform for a private equity-backed behavioral health company. The customer was manually verifying patient eligibility and benefits across Kipu EHR and multiple payers, which caused coverage gaps and prior-authorization issues to surface only after care was delivered, leading to denials and write-offs.

The solution involved configuring a five-step agentic workflow on Ideas2IT's proprietary Agent Hero platform to automate the entire verification flow. This integrated with Kipu and payer systems like pVerify and AHCCCS, parsing responses and writing structured results back to the EHR. The results included a fully automated process costing $0.026 per patient, with coverage details available before care delivery and a complete, auditable trail.