Telehealth & digital health platforms
Turn “we'll check your coverage” into “your coverage is guaranteed.”
Your intake funnel loses patients at the insurance step because the honest answer today is probably. Undersign gives your platform a new sentence to say — guaranteed — backed by an API that pays the claim if the payer says otherwise.
Platforms that guarantee coverage retain patients. Platforms that estimate it retain risk.
median clearance round-trip — one synchronous call, built for intake flows
API call to upgrade a visit from “probably covered” to guaranteed
days to guaranteed payment on cleared-then-denied visits
In your workflow
Where the guarantee plugs in.
Verify free, clear for real
POST /v1/verify (free) enriches the funnel with real-time eligibility. POST /v1/clearance upgrades the visit to guaranteed before it's scheduled.
Deterministic JSON
cleared / step_up / declined in one round trip. Idempotent by encounter_ref, sandbox-first. Built by people who've lived in X12 so your team doesn't have to.
The ledger pays
Denials on cleared visits pay out at contracted value in 30 days via the guarantee ledger — every decision hash-chained to its evidence, exportable for your finance team.
Telehealth & Digital Health, visualized
The intake funnel, guaranteed.
The insurance step stops being where your funnel leaks.
What changes
Three lines on your P&L, rewritten.
Convert more patients
Show “coverage guaranteed” in the funnel where you currently show a spinner. Certainty converts.
Pay clinicians without a lag reserve
Cleared visits are underwritten. Your clinician payout math stops depending on payer moods.
One integration, every market
Same API across behavioral health, PT, imaging partnerships — segments priced separately under the hood so you don't subsidize anyone else's denial rates.
Fair questions
Asked by every telehealth & digital health operator we talk to.
“We built eligibility in-house.”
Great — keep it for the data. Undersign isn't an eligibility feed; it's a counterparty. The question isn't whether you can check coverage, it's who eats the claim when the check is wrong. Today: you. With a guarantee: us.
“How fast is it?”
Clearance is a single synchronous call designed for intake flows. Verification runs in real time against payer rails, not batch files.
“We're multi-state and multi-payer.”
So is the underwriting. Payer × plan × CPT × region is exactly the granularity of the loss data we price on. Where we can't price yet, you get step_up — never a silent guess.
The API is in development
Be first on the ledger.
Digital-health platforms are where we're opening pilots first — fastest integrations, fastest feedback. Get on the list.