Insurance· Modules
Read the card at the front desk, ask the payer about the visit, and get co-pay, deductible, and out-of-pocket answers back on the chart.
Check a patient's office-visit co-pay from a photo of their card?Ultradoc does that.
Verify benefits
For Okafor, Maya · MRN: 00-21794
Ask the payer whether this plan is active and what the patient owes.
Payer
Lakeshore Health Plan
Payer ID LKS01
Matches the payer ID on the card
What to ask about
Subscriber
The person the card is issued to.
Member ID
Group number (optional)
First name
Last name
Date of birth
Date of service (optional)
Photograph the card at the front desk. A few clicks later it's filed on the chart, the payer has been asked about this visit, and what the patient owes is waiting.
Lakeshore Health Plan
Choice PPO
Member MAYA OKAFOR
ID LKS447109231
Group 770214Payer ID LKS01
Lakeshore Health Plan
Choice PPO
Member services 1-800-555-0142
Provider services 1-800-555-0177
RxBIN 610099 RxPCN LKSRX
Hold still
The insurer, plan, member ID, group number, and payer ID are lifted off the card, and the photos are destroyed once they're read.
Pick the chart and file it as primary, secondary, or tertiary. What the chart holds now sits beside what the card will change, before anything is saved.
Search by name or by the payer ID printed on the card. When one payer matches the card's ID, it's picked for you, and a payer that needs enrollment says so up front.
Payer
Lakeshore Health Plan
Payer ID LKS01
Matches the payer ID on the card
Also billed as Lakeshore Mutual, LHP Commercial
Lakeshore Community Care
Payer ID LKC11
This payer needs enrollment paperwork on file before it will answer benefit checks.
Ask about the plan in general, or narrow it to an office visit, psychotherapy, physical therapy, imaging, and more. A child on a parent's plan is checked under the parent's member ID.
What to ask about
A narrower service returns that service's own co-pay and deductible where the payer tracks it.
The patient is covered under someone else's member ID
A child on a parent's plan, for example.
Co-pay, co-insurance, deductible, and out-of-pocket maximum come back grouped, each line marked in or out of network. Every check is saved to the chart with who asked and when.
Lakeshore Health Plan
Professional (Physician) Visit - Office
Asked by Dana Reyes on Oct 13, 2026 at 9:41 AM
Co-pay
In network
$40.00Co-insurance
In network
20%Out of network
40%Deductible
In network
$1,500.00Out-of-pocket maximum
In network
$4,500.00Ultradoc says which part of the request the payer refused, whether the member, the practice, or the date, and tells the desk exactly what to check.
Pick what the payer refused
Benefit check
Bluewater Mutual
Health Benefit Plan Coverage
Asked by Priya Natarajan on Oct 13, 2026 at 2:07 PM, answered 2:07 PM
The payer answered, and its answer was that it could not find this member from the details that were sent. Each line below says what to do about it.
What to do
The member ID was not accepted. Check it against the card, and leave off any leading 80840.
The payer's own wording
“Invalid/Missing Subscriber/Insured ID” (72)
What was sent to the payer
When a payer withholds a figure, answers about the wrong thing, or hands a benefit to someone else, the result says so in plain words instead of guessing.
Pinecrest Health Plan
Psychotherapy
Cost share not published
Benefits
Co-pay
In network · Individual
Not statedPsychotherapy
Administered by someone else
Benefits for this service are handled by a separate administrator. That is routine — for behavioral health especially — and does not mean the service is uncovered. Call the administrator for the cost share.
In network
Psychotherapy
Clearpath Behavioral Health
Third party administrator
Phone 1-800-555-0199 · Behavioral health
Each benefit check is saved to the patient's chart and to the practice's recent checks, with who asked, when the payer answered, and the question exactly as it was sent.
Recent benefit checks
Benefit check
Lakeshore Health Plan
Professional (Physician) Visit - Office
Asked by Dana Reyes on Oct 13, 2026 at 9:41 AM, answered 9:41 AM
Plan
Small things that save a phone call.
Search by payer name or the payer ID printed on the card. Other names a payer bills under are listed, so the right one is easy to spot.
A payer that needs enrollment paperwork before it answers says so in the search results, before anyone sends a check.
Check a dependent under the subscriber's member ID, with the patient's own name and date of birth sent alongside.
Ask about coverage today or on a specific date of service, from the last 12 months through the end of this month.
A benefit line that needs prior authorization says so, next to the co-insurance and visit limits for that service.
When another administrator holds a benefit, the answer names them with the phone numbers the payer sent.
Start a check and keep working. The answer appears on screen the moment the payer replies, for everyone looking at that chart.
If a payer is briefly unavailable, Ultradoc keeps asking in the background before it reports no answer.
Photograph a driver's license to read the name, address, and date of birth for reference, without writing it to the chart.
Cards arrive from the desk, intake forms, and the patient app. Answers land on the chart, where the whole team can see them.
How practices put benefit checks to work before the visit.
Pediatrics
At Cedar Pediatrics, a new patient's father hands over his card. The desk checks the plan under his member ID with the child's own name and birthday, before the family sits down.
Behavioral health
Psychotherapy cost share is often withheld from electronic answers. Ultradoc says so and names the administrator to call, so nobody quotes a patient a $0 co-pay.
Orthopedics
Summit Orthopedics asks the payer about MRI and sees the co-insurance, the visit limit, and, where the payer says, whether prior authorization is required.
Dermatology
Elm Street Dermatology asks about an office visit instead of the plan in general, so the desk collects that visit's co-pay where the payer tracks it.
Family medicine
In the first weeks of the year, Northgate Family Medicine re-checks returning patients and reads each plan's deductible, including what the payer says remains.
OB/GYN
A patient changed jobs. The check comes back unable to match the member, with a note that coverage may have moved to another payer, so the desk asks for the new card.
Every part of Ultradoc reads from the same live record, so each one makes the others better.
Tell us how your practice runs. We'll set Ultradoc up around it and connect it to the EHR you already use.