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Coverage Insight

Coverage Insight identifies previously unbilled and underinsured patient accounts for missed funding sources. By leveraging advanced analytics and our extensive information network, this solution systematically screens placed patient accounts for missed billable commercial, government (including Medicare and Medicaid), and casualty insurance coverage. Our patient-centric solution can target, verify, and capture the complete insurance profile for each of your open balance accounts.

Capture revenue by converting your self-pay and bad debt to actionable revenue opportunities.
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ENHANCE PATIENT PROFILES

Coverage Insight combines disparate public and private data sources, including demographic, household, employment, and other information to create a more complete picture of your patient and discover previously-unknown coverage.

improve-efficiency

ANALYZE DATA AND TRENDS

By employing learning algorithms to churn through the mass of data, Coverage Insight identifies trends and data indicators locate a patient's insurer. Designed with compliance and performance in mind, our solution can effectively identify the most appropriate funding sources for each patient without violating Centers for Medicare and Medicaid Services (CMS) and industry anti-phishing rules.

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VERIFY POLICIES AND IDENTITY

Coverage Insight leverages our intelligent healthcare network to verify target policies, ensuring patients are covered specifically for the date of service. Once verified, policy-specific detail, e.g., policy number, group number, HMO\Managed Care, and much more, are collected to ensure each account can be effectively billed.

lower-costs

SUPPRESS UNUSABLE COVERAGE

Our solution ensures that your billing staff focuses on accounts with high probability of recovery, enabling you to reduce bad debt, identify weak and underperforming areas, and recapture lost revenue potential. Coverage Insight utilizes technology designed to verify that the identified coverages are relevant to the service provided, while also having the ability to remove non-billable services and identity mismatch issues.