EHVA.ai teams up with CareFactor on provider call automation

EHVA.ai and CareFactor have formed a partnership to automate inbound provider calls for medical, dental and vision plans. The deal is meant to speed eligibility, benefits and claims status answers while easing call volume for CareFactor’s TPA operations.

Why it matters: - CareFactor providers should get faster answers on eligibility, deductibles, out-of-pocket accumulators, benefits and claims status. - The partnership is designed to reduce hold times and free staff for higher-value work. - EHVA.ai targets TPAs and benefit administrators that need to scale provider service without adding headcount.

What happened: - EHVA.ai announced a partnership with CareFactor, a Columbus, Ohio-based third-party administrator with more than 60 years in health coverage and self-funded benefits. - The agreement brings EHVA.ai’s conversational voice AI into CareFactor’s provider-facing operations. - The system will handle inbound provider calls end-to-end for medical, dental and vision plans. - The automation covers eligibility verification, deductible and out-of-pocket accumulator balances, benefits and claims status inquiries.

The details: - EHVA.ai is built for health insurance payers, third-party administrators, carriers and other high-call-volume industries. - The platform also supports prior authorization status checks, according to the company. - EHVA.ai runs on its own telecom infrastructure, which the company says gives clients control over call quality, reliability and security. - CareFactor says the goal is to give provider partners fast, accurate answers without sacrificing personal service. - Robert Ochall, president of CareFactor, said the partnership extends that service standard to provider calls at scale. - Jeff Schaffer, chief revenue officer at EHVA.ai, said the companies plan to expand the partnership into new areas as CareFactor’s needs evolve. - EHVA.ai says its voice AI can answer provider calls around the clock.

Between the lines: - The deal reflects growing pressure on TPAs to handle more provider traffic as health plans and membership grow. - Voice AI is being positioned as a way to absorb routine inquiries while human teams focus on more complex work. - CareFactor’s emphasis on client-centric service suggests the automation is meant to support, not replace, its existing provider experience.

What’s next: - EHVA.ai and CareFactor said they expect the partnership to expand beyond the initial provider call workflows over time. - CareFactor providers should see the first phase of automated service on eligibility, benefits and claims questions as the rollout progresses.

The bottom line: - The partnership gives CareFactor a scalable way to automate routine provider calls while keeping response times and service levels in focus.