Insurance Coverage Detection
Whether they just came in the door or their overdue balances have been sitting in your AR for months, a surprising percentage of your “self-pay” and “charity” patients likely have full or partial insurance coverage your organization doesn’t know about. Our Insurance Coverage Detection makes finding more of that coverage fast, easy and cost effective—while delivering a superior hit rate that confirms 2.8x more coverage than the competition.
That’s crucial, because patients aren’t always aware of their own coverage. Insurance Coverage Discovery delivers actionable results that clearly articulate active and inactive coverage regardless of a patient’s point of entry into the system— even if the patient lacks an insurance card or other information. Our solution is cloud-based and requires no software installation or hardware upgrades, making implementation fast, easy and cost-effective.
Verify Self-Pay against Medicaid only with our Self Pay Analyzer
Standard Verification Eligibility

Find patients’ unknown insurance coverage – and the information you need to collect on it
- Reduces collection costs by automating the search for active coverage, reducing labor intensive patient follow-up, and maximizing the percentage of revenue billed to payers— which typically costs 50% less than collecting from patients.
- Maximizes ACA-related opportunities to capture revenue from newly insured patients.
- Strengthens patient satisfaction by educating them about their coverage and reducing attempts to collect money incorrectly identified as patient responsibility. Confirms 2.8x more coverage than the competition and routinely finds 5 to 15% billable insurance.
- Boosts revenue and profit margins by increasing collections while reducing bad debt and inappropriate charity write-offs.
- Slashes AR days and increases cash flow by identifying active coverage faster for earlier and more complete collections.
- Maximizes workflow efficiency with flexible automated batch or single patient coverage detection search submissions.
Steps for Eligibility Insurance Detection
*Basic patient information (Name, DOB, SSN)
*Automated search of top 10 payer in the service area
*Search is immediately stopped when coverage is located
Ask for a FREE Demo or sign up for a FREE Proof of Concept!
Huntable Payers
PAYER ID | NAME | Region | Enrollment |
---|---|---|---|
100020 | Blue Cross Blue Shield Of Alaska (Premera) | AK | 0 |
100005 | Alabama Medicaid | AL | 0 |
100353 | Viva | AL | 0 |
100017 | Arkansas Medicaid | AR | 0 |
101029 | NovaSys Health | AR | 0 |
101223 | Arizona Medicaid | AZ | 0 |
101185 | Care1st (Arizona) | AZ | 0 |
100144 | Health Choice Of Arizona | AZ | 0 |
100587 | Maricopa Health Plans | AZ | 0 |
100203 | Mercy Care Plan (Arizona) | AZ | 0 |

About The Free Trial
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