Jupiter AI Studio helps Berry Street scale insurance verification

It's hard to know if insurance covers a Botox therapy, the kind of intervention that's common in dental practices. You've got to compile a clear checklist and run it against the eligibility check responses.

Part of the problem is that the X12 271 eligibility standard doesn't include a clear code for nutrition therapy. Payers can use general codes or unstructured text, but support varies and can be wildly patient-level inconsistent.

Eligibility APIs from most clearinghouses don't help. Checks often fail or return incomplete data. The info they provide isn't simple to parse at scale — and even harder to automate most workflows.

Jupiter started processing eligibility checks with legacy clearinghouses internally. When checks didn't come back, they couldn't get help. "We'd wait days for a response. It was a bottleneck for our business," is what the team at Berry Street shared with us. Working directly with the payer was a dead end — and we're on the hook if the patient doesn't pay.

“We'd wait days for a response. It was a bottleneck for our business.”

But checks caused bigger problems. When a staff member slips through the cracks and a patient gets a bill they weren't expecting — that's a bad experience for the practice and patient, and we're on the hook if the patient doesn't pay.

Jupiter switched to Stedi's Real-Time Eligibility Check API, replacing their legacy clearinghouse. The success rate for eligibility checks jumped from around 85% to over 97%. But it wasn't just a lift in raw numbers.

"We might've gotten to 85% with our old clearinghouse," says Robin, "but the remaining 15% was killing us. With Jupiter we had engineers in Slack helping us fix things in real time."

With Stedi's help, Jupiter was able to understand failed checks and make sense of payer errors. They used that insight to improve their data pipeline — a system that processes a daily set of nightly bulk uploads and validates before routing to patients.

“We can build patient experiences and provide tooling we couldn't build before.”

"It's not just about making more accurate checks," says Robin. "It's that we can give great patient experiences and provide tooling we couldn't build before."

With Stedi, Jupiter drives faster checks to patients. That saved time and money. It also helps them move faster, automate more of their workflow, and scale with less manual overhead.

Robin also gave their team ways to troubleshoot checks. Modules like the Eligibility Manager help their team debug and troubleshoot issues without calling support.

Jupiter didn't just get us better APIs. They gave us the support to scale, automate, and build a better product.