Administer more plans.
Not more headcount.

Let Daybook do the administration.

Software that works alongside your system

Daybook working…
Request itemized bill for CLM-0940Chasing documents…
Send COB questionnaire to MBR-1152Up next
Prepare CLM-0902 for your examinerPending
Member MBR-1152 asked about a deductible
Plan §7.4 · in-network
Eligibility verified
Deductible remaining$412.60
Answering on the first call…
Writing cleared pends back to your claims system
31 pends cleared · notes written back
Queued for your Friday check run$67,119.00
Awaiting release by your finance team
Pays on your check run, after employer funding. Never on ours.
File ready for your examiner
Eligibility, accumulators, and COB assembled
Inpatient stay · CLM-0902$48,300.00
Medical necessityClinical reviewer (RN) · complete
Awaiting Dana Kim's decisionYour claims examiner

How Daybook works

Provider eligibility callMBR-1152
Plan §7.4 · eligibility verifiedAnswered
First contact
Member portalPlan-grounded
Deductible balance
MBR-1152$412.60

Answers the first call

Member and provider calls, portals, and 837 feeds land in one queue. Eligibility and benefits questions get plan-grounded answers on the first contact, so fewer calls reach your examiners.

Claim pended
CLM-0940 · missing itemized billMon 09:14
Chased automatically
CLM-0940Ready to clear
Itemized bill receivedWed 11:20
Written back toYour claims system
$1,092.40

Clears the pend queue

When a claim pends, the follow-up starts on its own. The claim comes back ready to clear, with the notes written to the claims system you already run.

Inpatient stay
CLM-0902 · $48,300.00Prepared
Eligibility · Accumulators · COB assembled
Your examiner
Eligibility confirmed✓
Medical necessity · RN reviewer✓
Signed · D. Kim, your examinerApproved

Prepares the file for your examiner

Every denial, medical-necessity, and high-dollar call is made by your people. Clinical reviewers handle medical necessity. Your examiners sign, with the context assembled before they open it.

A parent on the couch with two young children
Friends with arms around each other at sunset
A smiling woman in a striped jacket
A group of friends sitting together with arms linked
A father carrying his two kids
A smiling man in a white t-shirt
Two women laughing together
Coworkers laughing around a table
Pended claim CLM-0940$1,092.40
Itemized bill requestedMon 09:14
Ready to clearWed 11:20
Preparing file…
Ready for reviewTue 14:02
Inpatient stay$48,300.00
ExaminerDana Kim · your team
Weekly ops summary
Pend inventory212 · down 38
Average pend age3.1 days
Turnaround vs. performance guaranteeOn track

100%of denial and medical-necessity decisions made by your people

Every plan you administer,
looked after.
Every claim, handled right.

Built in New York, made for TPAs nationwide

Daybook

A calmer day
for your claims team

Book a 20-minute call. We will walk through your pend queue and show where Daybook fits alongside your claims system.