AI-powered compliance, built for health plans

Verbal reduces admin burden and ensures compliance with AI-powered QA and insights
"It's made it simpler in terms of being able to ensure the quality of the call."
Director of Clinical Operations

Drive quality, reduce regulatory overhead

Clinical quality & compliance automation for insurance and government programs
See Verbal in action
Regulatory & Quality
HEDIS, NCQA, & STAR measures
Case Management and Care Coordination
MA, Complex, & Transitional Care
Claims & Payment Integrity
Denials, audits, & fraud detection
Behavioral Health
SUD, IOP, and PHP
Member Services
Grevances, benefits, & call QA
Problem

The hidden risks holding your plan back

Payers face growing pressure to ensure regulatory compliance, care quality, and documentation accuracy—yet manual audits and fragmented oversight leave too much to chance. Verbal helps you catch issues before they become costly.

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Limited visibility into care delivery

Delegated entities and remote teams make it difficult to monitor how care is actually delivered—creating blind spots in quality, compliance, and member experience.

Compliance gaps go undetected

Documentation errors and policy deviations often slip through the cracks until it’s too late—leading to denied claims, penalties, or failed audits.

Manual audits can't keep up

High-volume interactions require real-time oversight, but traditional QA methods are too slow, too resource-heavy, and too reactive to scale.

Solution

AI tools to elevate every session

Unified oversight across teams

Get full transparency into how care is delivered—across internal teams and delegated entities—with centralized access to structured, auditable interactions.

Built-in policy checks

Ensure every interaction meets internal and regulatory standards with AI that flags deviations from payer-specific protocols.

AI-powered QA at scale

Review 100% of interactions with automated QA tools—no need to expand headcount to expand oversight.

Hear from other payer & health plan customers of Verbal

"Nurses that came in to us...that never had formal training in MI...are now just demonstrating these amazing skills because we've been able to utilize Verbal."

Healthcare Coach and Preceptor

"The biggest difference is just the ability to train those [motivational interviewing] skills better."

Healthcare Coach and Preceptor

"It's made it simpler in terms of being able to ensure the quality of the call."

Director of Clinical Operations

"It's free'd up my time and [our providers'] time"

Director of Clinical Operations

“All of us are glad we have [Verbal], and don’t want to go back to not having it.”

Healthcare Coach and Preceptor

“It’s allowed [our healthcare coaches] to be more present and do more active listening during their calls.”

Director of Clinical Operations

Ready to put your compliance on auto-pilot?

Let's get your people back to patient care

No commitment trials available