Remote Care Qualification

AI-Powered Patient Eligibility Scoring

FairPath takes the guesswork out of patient qualification. Instead of wasting resources on patients who may later be denied, our AI-driven eligibility scoring system predicts which patients are most likely to be reimbursed for RPM, CCM, RTM, and APCM services—before onboarding begins.

Proven Results

FairPath delivers measurable success in fighting denials.

335K

Patients Processed
Precision handling of high volumes.

1.1M

Charges, Claims & Payments
Experience built on extensive real-world processing since 2018.

4+

Specialties Supported
Covers RPM, RTM, CCM, APCM, and more

$36.7M

Dollars Paid
Real revenue delivered to practices like yours over years of expertise

The Cost of Traditional Checks

The Problem: Eligibility Checks Waste Time and Money

Eligibility verification has always been a pain point for practices delivering remote care.

Revenue Leakage Risk

Standard eligibility checks often misclassify patients as eligible. Practices spend time onboarding, configuring devices, and updating care plans—only to have claims denied. Every false positive drains staff hours and leaves revenue unrecovered.

Workflow Disruption

Care teams must coordinate with patients who will later be dropped from coverage. This slows down onboarding pipelines, frustrates staff, and creates uncomfortable patient conversations when services aren’t covered.

Root Cause

Traditional checks (such as 270/271 insurance transactions) only confirm active coverage. They don’t reveal payer-specific rules around RPM, CCM, RTM, or APCM billing codes. Practices don’t discover ineligibility until after a denial—too late to avoid wasted effort.

No Headaches, Just Results

FairPath: Software Stack for Small to Mid-Sized Practices

Built for teams with no time to waste.
‍
FairPath is a hassle-free software stack that helps smaller practices run RPM, RTM, CCM, and APCM without hiring extra staff.

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Compliance First

Run your entire remote care program with the full stack of software solutions that ensure you remain compliant while providing care.

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Scalable Technology

Handles thousands of patients across multiple conditions.

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Proven Foundation

Built on a 98% success rate and active CMS compliance monitoring.

FairPath Pro: Turnkey Solutions for Larger Partners

FairPath Pro provides larger operations with the level of customization and integration they need to run effective and compliant remote care programs for large patient populations.

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Full-Service Billing

From eligibility checks to ICD-10 coding to claim tracking, we handle it all.

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Affordable Access

No upfront integration fees. Just results.

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Proven Expertise

1.1 million+ transactions processed. $36.7M paid to real practices.

Predictive Qualification

The Solution: FairPath’s Eligibility Scoring Model

FairPath replaces reactive checks with proactive, AI-powered qualification. Instead of waiting for denials to reveal coverage gaps, practices gain a clear, data-driven view of patient eligibility before onboarding begins.

Lookalike Modeling

FairPath blends historical, anonymized remote care billing data with a new practice’s non-RPM claims to build a predictive lookalike model. This approach captures payer-specific patterns and highlights patients most likely to be reimbursed for RPM, CCM, RTM, and APCM services.

Scored Eligibility
(1–5)

Each patient is assigned an eligibility score on a simple 1–5 scale. Unlike binary yes/no checks, the score shows the relative likelihood of coverage, allowing practices to focus on high-probability patients and reduce wasted onboarding.

Expert Validation

Before enrollment, a team member can review every score. This human-in-the-loop safeguard ensures accuracy and compliance while building trust for providers and administrators. Teams can move forward with confidence, knowing patients have been double-qualified by both AI and expert oversight.

Continuous Feedback Loop

Eligibility predictions don’t remain static. Once claims are paid, payment outcomes are fed back into the model, improving its precision over time. This adaptive loop keeps FairPath aligned with changing payer rules, ensuring that qualification grows more accurate the longer the system is in use.

Request a Demo →

Real Practice Impact

Why It Works for RPM, CCM, RTM, and APCM

FairPath’s eligibility scoring delivers measurable outcomes that directly address the biggest pain points in remote care qualification.

Prevents Revenue Leakage

Denied claims and wasted staff time drain margins. FairPath filters out ineligible patients before onboarding, ensuring your team only invests in patients with a strong likelihood of reimbursement. The result: fewer unpaid hours, higher capture of billable services, and stronger financial performance.

Streamlines Care Team Workflow

Onboarding patients who later get denied disrupts clinical workflows and lowers morale. FairPath’s eligibility scoring gives care teams clarity upfront, so they can focus on patients who will stay enrolled. This leads to smoother onboarding pipelines, more predictable caseloads, and a better patient experience.

Continuously Improves Accuracy

Payer rules evolve, and yesterday’s checks don’t always apply tomorrow. With FairPath, every payment outcome is fed back into the model, making it smarter and more aligned with real-world payer behavior over time. Practices gain a living system that adapts, keeping eligibility decisions relevant and reliable.

What this means for you

The result is a qualification process that’s proactive, data-driven, and trustworthy—protecting practice revenue, restoring staff efficiency, and enabling confident growth in remote care programs.

Proactive Eligibility

Move Beyond Basic Insurance Checks

Traditional eligibility checks were designed to answer a simple question: is this patient insured? But remote care programs like RPM, CCM, RTM, and APCM require far more nuance. Payers apply unique coverage rules, documentation standards, and risk-tier requirements that basic eligibility tools were never built to handle.

FairPath delivers the intelligent layer practices need today. By combining predictive modeling, expert validation, and continuous feedback, FairPath transforms eligibility from a reactive administrative task into a strategic advantage. Practices gain confidence in patient qualification, protect revenue from preventable denials, and scale remote care programs sustainably.

The difference is clear:

Basic Checks stop at confirming coverage status.
FairPath Eligibility predicts, validates, and improves with every claim cycle.

With FairPath, eligibility becomes more than a checkbox—it becomes the foundation for sustainable growth in remote care.

Expand Your Expertise

Dive Deeper with FairPath's Knowledge Hub

FairPath's Knowledge Hub is your go-to resource for advancing your practice in 2025. Discover expert guides and actionable insights, including:

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Remote Patient Monitoring (RPM): Master billing codes, device rules, and compliance for physiologic tracking.

Remote Therapeutic Monitoring (RTM): Unlock billing for therapy adherence with the latest updates.

Chronic Care Management (CCM): Deepen your skills with time-tracking tips and payer policies.

And More: Explore emerging trends, technology, and care strategies to stay ahead.

Ready to broaden your horizons?

Visit the Knowledge Hub Now →

Customized for Your Practice

Specialized for RPM, RTM, and CCM Programs

Purpose-built for the complexities of RPM, RTM, and CCM programs, where accuracy and compliance are critical.

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RPM Mastery

Perfects codes with precise documentation, ensuring flawless submissions.

RTM Precision

Adapts to RTM's evolving rules, trained on UHC's quirks for compliance.

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CCM Expertise

Streamlines 20-minute care logs, reducing errors with expert oversight.

Boosting Practice Revenue with AI Precision

Results That Deliver Financial Stability

FairPath's service-first model, powered by Intelligence Factory's AI, achieves exceptional outcomes for small practices

98%

Successful Payment Rate

Our expert team leverages FairPath's precision automation for near-perfect reimbursements

<5%

Denial Rate

Industry-leading results for RPM, RTM, and CCM, slashing the $262 billion denial burden

90%

Payments Within 30 Days

Rapid resolution accelerates cash flow from 45-60 days to under a month

Qualify Patients with Confidence

Stop wasting time on patients who won’t be reimbursed. FairPath’s AI-powered eligibility scoring helps you protect revenue, streamline workflows, and grow your remote care programs with confidence.

Reach out to us to see how FairPath can make eligibility proactive for your practice. Or call us at (689) 600-1779

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