Healthcare Payer Automation

Every payer portal,
one automated API.

PayerLane signs in to healthcare payer websites for you and runs predefined workflows β€” eligibility, claim status, prior authorization, benefits & coverage, insurance discovery and more β€” then hands the results back to any software through one clean API. Real-time or in bulk; if you have the login, PayerLane can run it.

Works with any payer website Connects to any software Secure by design
Payer portal A Payer portal B Payer portal C PayerLane automation hub API Hooks
🌐 Any payer website πŸ” Encrypted credential vault βš™οΈ Real browser automation πŸ” REST API + webhooks 🏒 Multi-tenant isolation 🐳 Self-host with Docker
How automation works

From a payer login to your software β€” automatically

PayerLane drives a real, headless browser through each payer's own website, captures the result, and exposes it through one API. Step through it:

Step 1 Β· Connect
A payer, added once
Register the payer site and store its login in the encrypted vault. From now on, automation can reach it on demand.
Payer site β†’ Vault sign-in β†’ Capture β†’ Your software
What you can automate

Predefined flows for the payer work you do every day

PayerLane ships ready-made workflows for the most common payer-portal transactions β€” and runs whatever a payer's website offers. As long as your client has valid login credentials for the site, the flow can run on demand or in bulk.

βœ…

Eligibility verification

Confirm a member's active coverage, plan, and effective dates in seconds β€” before the visit, not after the denial.

πŸ“„

Claim status

Check exactly where a submitted claim stands β€” paid, pending, or denied β€” without a staff member ever logging in.

πŸ“

Prior authorization

Look up authorization requirements and track request status across payer portals automatically.

🩺

Benefits & coverage

Pull detailed benefit, copay, deductible, and coverage-limit information straight from the source.

πŸ”Ž

Insurance discovery

Surface unknown or still-active coverage for a patient β€” recover billable insurance you didn't know existed.

βž•

…and whatever the payer offers

Remittance / EOB retrieval, demographics, referrals, and more. If a workflow exists on the portal and you have a login, it can be automated.

⚑

Real-time

Fire a single request and get the result back as soon as the portal responds β€” ideal for point-of-service eligibility and on-the-spot status checks.

πŸ“š

Batch mode

Submit hundreds or thousands of members in one call. Jobs run headless in the background with live, per-item status and a durable record for each result.

Both modes run through the same REST API β€” submit, poll or subscribe to a webhook, and fetch the document. No portal logins for your team, no per-payer integration to build.

Capabilities

Everything you need to operationalize payer work

One platform that turns manual, portal-by-portal busywork into reliable, programmable automation.

🧭

Connect to any payer website

A real browser engine navigates each payer's own portal β€” logins, menus, searches, downloads β€” so no API on their side is required.

πŸ”

Secure credential vault

Payer passwords and one-time-passcode secrets are encrypted at rest and entered only by the automation β€” never exposed to callers.

🧩

API management built in

Issue scoped API keys and OAuth2 client credentials, organize partners, and control exactly what each integration can reach.

πŸ“‘

Webhooks & events

Subscribe to job lifecycle events and receive signed callbacks the moment a document is ready β€” no polling required.

πŸ“š

Batch & queued jobs

Submit one request or thousands. Jobs run headless in the background, with live status and a durable record for every item.

🏒

Multi-tenant isolation

Every partner, connector, and document is scoped to its owner. Data for one tenant or connector never bleeds into another.

Built for integration

Connect it to any software

If your system can call a REST endpoint, it can drive payer automation. Submit a job, poll for status, fetch the document β€” or just listen for a webhook.

  • βœ“Three simple stepsSubmit β†’ poll β†’ fetch. Predictable JSON in, documents out.
  • βœ“Two auth modesLong-lived API keys or short-lived OAuth2 client-credentials tokens.
  • βœ“Versioned & stableA clean /v1 surface with a consistent error envelope.
  • βœ“Language-agnosticcURL, Python, Node, Java, .NET β€” anything that speaks HTTP.
# Submit a payer-automation job
curl -X POST https://your-host/v1/report-jobs \
  -H "Authorization: Bearer gwk_β€’β€’β€’" \
  -H "X-Service: <your-connector>"  # optional \
  -H "Content-Type: application/json" \
  -d '{ "facility_id": 12, "items": [ {"member_id":"A1","dob":"1980-04-02"} ] }'

# β†’ 202 Accepted
{ "job_id": "7f3c2a91b4de", "status": "queued", "total": 1 }
# Poll until the job is done
curl https://your-host/v1/report-jobs/7f3c2a91b4de \
  -H "Authorization: Bearer gwk_β€’β€’β€’"

{ "job_id": "7f3c2a91b4de",
  "status": "done",
  "items": [ { "status": "done",
             "document_id": "d29ab07c" } ] }
# Fetch the captured document
curl https://your-host/v1/documents/d29ab07c/content \
  -H "Authorization: Bearer gwk_β€’β€’β€’" \
  -o result.pdf

# …or skip polling entirely β€” register a webhook
# and get a signed callback the moment it's ready.
Architecture

One hub between your software and the payers

Your systems talk to a stable API. PayerLane does the messy part β€” driving each payer's website β€” and sends results back the way you prefer.

Your software EHR Β· RCM Β· billing Β· apps PayerLane API Β· vault Β· automation Payer portal A Payer portal B Payer portal C REST Β· OAuth2 webhooks ← headless browser
Security & control

Sensitive by nature β€” handled with care

Payer credentials and patient-related documents demand serious controls. PayerLane is built so you stay in command of both.

πŸ”’

Encrypted vault

Login secrets and one-time-passcode keys are encrypted at rest and used only by the automation.

🎟️

Scoped access

Every API key and partner is scoped β€” callers reach only the connectors and data they're entitled to.

🧱

Tenant isolation

Per-owner, per-connector separation keeps each customer's data firmly in its own lane.

🏠

Run it yourself

Ship as a Docker image you host in your own environment β€” your data never leaves your control.

Put payer busywork on autopilot

Open the console to add a connector, create an API key, and run your first automated job in minutes.

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