One platform for eligibility, coverage & compliance.
Every capability below is live in Cori today — built to remove manual eligibility work from your team's plate, not add another tool to manage.
Commercial Eligibility
Run real-time benefit verification across 3000+ commercial payers, so your front desk knows coverage status before the visit, not after the claim bounces.
- Multi-payer connectivity in a single workflow
- Changes in results are emailed to administrators
- Results feed directly into the patient record
Real-time Commercial Eligibility
3000+ payers
Coverage-Change Emails
Every time a new eligibility result comes back — whether from a real-time commercial check or a Medicaid batch — Cori automatically compares it against the member's prior result and emails your staff a clear summary of exactly what changed.
- Automatic comparison against the previous check, every time
- Plain-language summaries of what changed and why it matters
- No more manually comparing PDFs or spreadsheets
Automatic reault comparison & alert
"Coverage changed for Jane D. — see what's new"
Deductible Forecasting
Cori's deductible forecaster looks at how a member's remaining deductible has moved between checks and projects the calendar date it's likely to reach zero — so scheduling and billing can plan around it instead of being surprised by it.
- Projects the date an individual deductible will reach $0
- Based on real deductible changes between eligibility checks
- Reported automatically alongside coverage-change alerts
Deductible zero-date projection
"Estimated deductible reset: ~6 weeks out"
Unlimited Medicaid Eligibility
Cori exchanges batch files with Medicaid — meaning you can verify your entire Medicaid roster as often as you need, with no per-transaction fees and no artificial limits on volume.
- Automated, scheduled batch verification
- No per-check caps and no per-transaction fees
- Built for Colorado Medicaid, with full history retained
Unlimited batch checks
Automated batches · Schedule daily, weekly, or monthly
Exclusion Verification
Cori batch-screens your entire staff roster against the federal Office of Inspector General LEIE, SAMHSA, and state Medicaid exclusion lists, then emails each organization a clear exclusion report — so you detect a sanctioned provider before it becomes a compliance incident.
- Cross-references OIG, SAM.gov, and state exclusion databases
- Automated organization-level exclusion reports by email
- Medicaid managed care operators have a monthly roster validation requirement in some states.
Roster-wide screening
OIG LEIE · SAMHSA · State Medicaid exclusion lists
Availability Management
Track staff availability and capacity directly in Cori, so the people scheduling visits and managing intake always have an accurate, real-time picture of who can take on new clients.
- Organization-wide staff availability at a glance
- Capacity tracking tied to scheduling and intake
- Keeps care teams from being over- or under-booked
Live capacity view
Staff availability · Organization administrator & provider views
FHIR-Native Store
Organization and client data lives in a standards-based Google Cloud Healthcare FHIR store — not a proprietary database. That means your data is interoperable, audit-ready, and built on the same standard the rest of healthcare is converging on.
- Organization and provider data stored as FHIR resources
- Interoperable with other FHIR-based systems out of the box
- Audit-ready architecture from day one
Built on Google Cloud Healthcare
FHIR R4 resources · Auditable · Interoperable
Low Cost, By Design
Because Cori runs Medicaid checks in batches over SFTP and stores everything in a FHIR-native architecture, the per-check cost is far lower than legacy clearinghouses that charge per transaction. That savings passes straight to you — flat, predictable pricing with no surprise fees.
- Batch architecture removes per-transaction Medicaid costs
- Flat, predictable pricing — no surprise line items
- No setup fees to get started
Predictable, flat pricing
A full operations platform underneath
Eligibility is the headline — but Cori also runs the day-to-day operations behind it.
Automation Runs
Visibility into every scheduled automation and its run history.
Usage Reporting
Commercial and Medicaid usage reports for billing and oversight.
Contract Management
Author, offer, and report on organization contracts in one place.
Staff Validation Compliance
Built-in tooling to help your organization stay compliant.
Billing
Integrated billing workflows powered by Stripe.
SMART Apps
Configure and manage SMART-on-FHIR applications.
EHR Import
Bring existing records in from your current EHR.
Audit Logs
A complete, queryable record of system activity for compliance.
See it on your own roster
We'll walk through your current eligibility process and show exactly where Cori fits.