Coverage Insight™

An analytics-driven insurance verification software for providers that want to identify undisclosed coverage for patients presenting as self-pay or underinsured, aligning with anti-phishing regulations.


Identifyundisclosed coverage

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Use intelligent software to help achieve accurate revenue

Help achieve accurate revenue by detecting undisclosed reimbursement sources within 2-24 hours. Pay only for accounts that yield a net gain via a percent or fixed-fee per benefit unit. Plus, our insurance verification software helps reduce the risk of bad debt associated with accounts mislabeled as self-pay or charity care.

Coverage Insight - businesswoman working at computer

Secure insurance verification software to reduce anti-phishing risk

Our insurance verification software validates that the demographic and insurance profiles are one and the same. Our suppression feature rejects an average of 40% of accounts due to identity risk to deliver highly reliable data back to the provider.

Coverage Insight - merchant services

Technology to help facilitate patient and administration satisfaction

Facilitate time-and-cost savings by helping to reduce backend collections. Help increase patient satisfaction by identifying coverage that reduces out-of-pocket costs.

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million cleared in annual patient balance

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million recovered in annual provider recovery

What’s Included in Coverage Insight™

  • Choose an Innovative Solution

    • We use advanced data mining, machine-learning algorithms, predictive analytics, our expansive network of payers, and more than 600 internal and external sources to identify existing insurance coverage
    • Help verify data accuracy using direct payer and third-party connections to confirm a patient’s benefits and the applicability of all discovered information
    • Irrelevant information is suppressed by screening the byproduct of self-pay and eligibility processes to determine which information has historically been useful
  • Use Intelligent Analytics

    • Intelligent analytics create an in-depth demographic profile of each patient and uses historical and current data
    • Data includes names, addresses, employers, prior insurance coverage, MVA reports, etc.
    • Algorithms look for trending elements to compare against historical data, such as income strata and carriers associated with specific residential areas,
    • An insurance profile is created with coverage predictions


“Change Healthcare has been a wonderful partner. They’re always available to assist, and Coverage Insight is a quality solution for us.”

-Daryl Manillo, Senior Director
NYC Health + Hospitals, New York, NY

Our outcomes

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