Insurance checks for pain clinics
Know what the patient is covered for before you call them.
When a referral arrives, Kodap checks the patient's insurance on its own and puts the answer on the referral — active or not, copay, deductible remaining, in or out of network. Your coordinator never opens a payer portal.
Before the first phone call
Stop finding out about coverage on the day of the visit.
Insurance is one of the first things that decides whether a referral is worth scheduling, and it is usually the last thing anyone checks. Kodap moves it to the front, automatically, so your team is not calling a patient they cannot see.
Coverage status
Active, inactive, or unclear. When the answer is unclear, Kodap says so rather than guessing.
Patient cost
Copay and remaining deductible, so the front desk can have an honest conversation up front.
Network status
In network or out, checked against the plan the referral actually carries.
Your own carrier list
You tell Kodap which plans your clinic accepts. Referrals are checked against that list, not a generic one.
Unclear goes to a person
If the answer comes back unreadable, the referral routes to your staff for review instead of being decided automatically.
A record you can produce
Every check is logged with a timestamp and attached to the patient, ready to print if anyone asks.
What we do and do not do
We check coverage. We do not handle authorizations.
Prior authorization is real work and it is not work Kodap does today. We would rather say that plainly than let you find out on your second call with us.
Kodap does this today
Verifies the patient's insurance when the referral arrives, shows coverage, copay, deductible and network status on the referral, checks the plan against the carriers your clinic accepts, and keeps a record of every check.
Kodap does not do this today
Prepare authorization packages, submit authorizations to payers, or track a payer's response. If prior authorization is the problem you need solved right now, we are not yet the right tool for it.
See what Kodap does for pain clinics →Common questions
Straight answers.
Does Kodap submit prior authorizations?
No. Kodap does not prepare or submit authorizations, and does not track payer responses. It checks insurance eligibility when a referral arrives.
Do we still need our payer portals?
For authorizations, yes. For checking whether a new patient is covered and what they will owe, no — that comes into Kodap on its own.
What if the insurance answer is unclear?
The referral is marked for staff review. Kodap never turns an unclear answer into a decision.
Which insurers does this work with?
Kodap connects through an insurance clearinghouse, which covers most commercial plans. We will confirm your specific payer mix before you sign anything.