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 Detection 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.  

Find patients’ unknown insurance coverage – and the information you need to collect on it

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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.

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Maximizes ACA-related opportunities to capture revenue from newly insured patients.

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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.

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Boosts revenue and profit margins by increasing collections while reducing bad debt and inappropriate charity write-offs.

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Slashes AR days and increases cash flow by identifying active coverage faster for earlier and more complete collections.

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Maximizes workflow efficiency with flexible automated batch or single patient coverage detection search submissions.

View Our Huntable Payer List Here

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 IDNAMERegionEnrollment
100020Blue Cross Blue Shield Of Alaska (Premera)AK0
100005Alabama MedicaidAL0
100353VivaAL0
100017Arkansas MedicaidAR0
101029NovaSys HealthAR0
101223Arizona MedicaidAZ0
101185Care1st (Arizona)AZ0
100144Health Choice Of ArizonaAZ0
100587Maricopa Health PlansAZ0
100203Mercy Care Plan (Arizona)AZ0
100663Operating Engineers Local No.428AZ0
101066University Physicians Care Advantage (Arizona)AZ0
101067University Physicians Healthcare Group (Arizona)AZ0
101223Arizona Medicaid - COREAZ0
101032PacifiCare (United Healthcare West)AZ,CA,CO,NM,OK,OR,TX,WA0
100065California MedicaidCA1
100902Health Plan of San FranciscoCA0
100527Health Plan of San JoaquinCA0
100903Health Plan of San MateoCA0
101010Inland Empire HealthCA0
101012Inter Valley Health PlanCA0
100670Partnership Health PlanCA0
100298Universal Care Of CaliforniaCA0
101065University Family CareCA0
101068Western Health AdvantageCA0
100979Colorado AccessCO0
100083Colorado MedicaidCO0
100986Denver Health Medical PlanCO0
100025Blue Cross Blue Shield Of Connecticut (Anthem)CT0
100085Connecticut MedicaidCT0
100121District Of Columbia MedicaidDC0
101104Health Services for Children with Special NeedDC0
100371Delaware MedicaidDE0
100080Coventry Health Care of Delaware (DE/MD)DE, MD0
100068Careplus Health PlanFL0
100071Coventry Health Care of FloridaFL0
100125Florida MedicaidFL0
101005HealthEaseFL0
101006HealthEase KidsFL0
101116Leon Medical Centers Health PlansFL0
100214Molina Healthcare Of FloridaFL0
101136Preferred Care PartnersFL0
101192Simply HealthcareFL0
100769Stay WellFL0
101057Staywell KidsFL0
100978Vista (Florida Medicaid)FL0
100011AmeriGroupFL,GA,IA,KS,LA,MA,NV,NJ,NM,NY,TN,TX,WA0
100104Coventry Health Care Of GeorgiaGA0
100127Georgia MedicaidGA0
100538IBEW Local 508 PlanGA0
100937Blue Cross Blue Shield of Hawaii (HMSA)HI0
100142Hawaii MedicaidHI0
101030Ohana Health PlanHI0
100171Iowa MedicaidIA0
100074Coventry Health Care of Iowa (IA/SD)IA, SD0
100274United Healthcare Plan Of River ValleyIA,IL,TN,VA0
100167Idaho MedicaidID0
101081Administrative Services Inc.IL0
101180Aetna Better Health (IL)IL0
101111Allied Benefit SystemsIL0
101265CountyCareIL0
100120Coventry Health Care of Illinois (Personal Care)IL0
101175Health Alliance (IL)IL0
100168Illinois MedicaidIL0
101125Meridian Health Plan of IllinoisIL0
100143Health Alliance Plan - HAP (MI)IL, IA0
100170Indiana MedicaidIN0
101115Key Benefit Administrators - IndianapolisIN0
100070Caresource HealthIN, MI, OH0
100033Blue Cross Blue Shield Of KansasKS0
100938Blue Cross Blue Shield of Kansas CityKS0
100189Kansas MedicaidKS0
101137Preferred Plus Of KansasKS0
101208United Healthcare Community Plan KS (KanCare)KS0
100075Coventry Health Care of Kansas (KS/MO)KS, MO0
101177Aetna Better Health (KY)KY0
100034Blue Cross Blue Shield Of Kentucky (Anthem)KY0
100956Bluegrass Family HealthKY0
100191Kentucky MedicaidKY0
101213Humana CaresourceKY0
101198AmeriHealth Caritas Louisiana (LA Care)LA0
101197Benefit ManagementLA0
100076Coventry Health Care of LouisianaLA0
100193Louisiana MedicaidLA0
100038Blue Cross Blue Shield Of MassachusettsMA0
100957Boston Medical Center HealthNet PlanMA0
100123United Healthcare Medicare Solutions (Secure Horizons/Evercare)MA0
100365Neighborhood Health Plan (NEHEN)MA,RI0
100097Coventry Diamond PlanMD0
100198Maryland MedicaidMD0
100196Maine MedicaidME0
100658Aetna Better Health (MI Omnicare)MI0
100154HealthPlus of MichiganMI0
100204Michigan MedicaidMI1
101022Michigan MIChildMI0
100040Blue Cross Blue Shield Of MinnesotaMN0
100897Healthpartners of MinnesotaMN0
100206Minnesota MedicaidMN0
100694Preferred OneMN0
100598Metropolitan Health Plan (MHP)MN,MO0
100211Missouri MedicaidMO0
101218Missouri CareMO0
100111Aetna Better Health (MO Healthcare USA)MO, IL0
100119Coventry Health Care of Missouri (MO/IL) (Group Health Plan)MO, IL0
100209Mississippi MedicaidMS0
100885Windsor Medicare ExtraMS0
100100Coventry Health and Life in Mississippi and Arkansas (Coventry Health and Life Insurance Company)MS,AR0
100222Montana MedicaidMT0
100985CSA Fraternal Life Medicare SupplementMULTI0
100990Essence HealthcareMULTI0
100367Golden RuleMULTI0
100605MMSI (Mayo Health)MULTI0
100238Oxford Health Plans (United Healthcare Oxford)MULTI0
101036Personal Insurance Administrators (PIA)MULTI0
101042Quick Trip CorporationMULTI0
101142Schaller Anderson Parkland Community Health PlanMULTI0
101101FCE Benefit AdministratorsN/A0
101139Healthgram (Primary PhysiciansCare)N/A0
1012571199 National Benefit FundNational0
101187Aetna AdministratorsNational0
100003Aetna Health PlansNational0
101211Aetna Senior Supplemental InsuranceNational0
100922American National Insurance CompanyNational0
101083American Network Insurance (REHAB)-Medicare Supplemental (CHCS Services)National0
100008American Postal Workers Union (APWU)National0
100924American Retirement Life Insurance Medicare SuppNational0
101205Care Improvement PlusNational0
100970Central Reserve Insurance CompanyNational0
100428Central Reserve Insurance Company Medicare SupplementNational0
101095Christian Brothers ServicesNational0
100082CignaNational0
100901Civilian Health and Medical Program Dept. Vet Affairs (CHAMP VA)National0
101096CMFG Life Insurance (CHCS Services)National0
100439Continental General Ins Co. Medicare SuppNational0
100971Coventry Health Care Advantra PlansNational0
100368Coventry National First Health NetworkNational0
101074Definity Health Plan (United Healthcare)National0
100454EBMS (Employee Benefit Management Service)National0
101184Everence FinancialNational0
100479Federated Mutual Insurance CompanyNational0
100350Government Employees Health Association (GEHA)National0
100998Great American Life Insurance Co. Medicare SuppNational0
101001Harmony Health PlanNational0
101004HEALTHe ExchangeNational0
101106HealthEZNational0
101105HealthScopeNational0
101109IBM Insurance Outsourcing ServicesNational0
101011Integrated Mental Health ServicesNational0
100192Keystone First (Keystone Mercy Health Plan)National0
101015Loyal American Insurance CompanyNational0
100585MAHP (Optimum Choice, MD IPA, MLH) / MAMSINational0
100195Mail Handlers Benefit Plan (Coventry)National0
101194MedBenNational0
100335MedicaNational0
101204Medica Health PlansNational0
101126MHNET Behavioral HealthNational0
100674Penn Treaty Life Insurance (CHCS Services)National0
101040Provident American Life & Health Insurance CompanyNational0
101055Special Agents Mutual Benefit Association (SAMBA)National0
101056SPJST Medicare SupplementNational0
101150The Ullico Family of Companies (CHCS Services)National0
101151TMG Health Network Health InsuranceNational0
101007TransAmerica Life (HealthMarkets)National0
100270Tufts Associated Health Plan (NEHEN)National0
100366UMR (United Health Integrated Services)National0
100819Union Pacific RailroadNational0
100821United American Insurance CompanyNational0
101207United Health Integrated Services (United Healthcare)National0
100273United HealthcareNational0
100254United Healthcare Medicare (Secure Horizons)National0
100837United Teachers AssociatesNational0
100299USAA Life Insurance CompanyNational0
101153Vet Affairs Health Administration CenterNational0
100363WEB-TPA IncNational0
100351Wellcare Health PlansNational0
100049Blue Cross Blue Shield Of North CarolinaNC0
100232North Carolina MedicaidNC0
101034Partners National Health Plans of NCNC0
100079Coventry Health Care of the Carolinas (WellPath)NC, SC0
100233North Dakota MedicaidND0
101079Aetna Better Health (NE)NE0
101084Arbor Health PlanNE0
100077Coventry Health Care of NebraskaNE0
101182Nebraska MedicaidNE0
100228New Hampshire MedicaidNH0
101238Well SenseNH0
100046Blue Cross Blue Shield Of New Jersey (Horizon)NJ0
101193CarePoint Medicare AdvantageNJ0
100229New Jersey MedicaidNJ0
100157Horizon New Jersey HealthNJ0
101098Consolidated Associates RailroadNM0
100230New Mexico MedicaidNM0
101088CDS Group HealthNV0
100098Coventry Health Care of NevadaNV0
101009Hometown HealthNV0
100227Nevada MedicaidNV0
100349Fidelis CareNY0
100907HealthNow New YorkNY0
100542Independent HealthNY0
100231New York MedicaidNY0
101028Nova Healthcare AdministratorsNY0
100841UniveraNY0
100908VNS ChoiceNY0
101186Senior Whole HealthNY,MA0
101196MagnaCareNY,NJ0
101179Aetna Better Health (OH)OH0
100200Medical Mutual Of OhioOH0
100218Molina Healthcare Of OhioOH0
101128Mutual Health ServicesOH0
100234Ohio MedicaidOH0
100321SUMMA CareOH0
100084Community Care Of OklahomaOK0
100099Coventry Health Care of OklahomaOK0
101113Kempton CompanyOK0
100235Oklahoma MedicaidOK0
100301Vantage Health Plan Inc.OK0
100941BlueCross BlueShield of Oregon (Regence)OR0
100991FamilyCareOR0
100237Oregon MedicaidOR0
101031Pacific Source Health PlanOR0
101080Aetna Better Health (PA)PA0
100012AmeriHealth Caritas PennsylvaniaPA0
100338Blue Shield of Pennsylvania (Highmark)PA0
100995Geisinger Health PlanPA0
100148Health Partners PennsylvaniaPA0
100248Pennsylvania MedicaidPA0
100848UPMC Health PlansPA0
100109Coventry HealthAmerica (HealthAssurance)(PA/OH)PA, OH0
101027Neighborhood Health Plan of Rhode IslandRI0
101188Planned Administrators, Inc.SC0
100259Select Health Of South CarolinaSC0
100260South Carolina MedicaidSC0
100442Dakota CareSD0
100262Tennessee MedicaidTN0
101133United Healthcare Community Plan TN (Americhoice TN/Secure Plus Complete)TN0
101266Aetna Better Health (TX) & CHIPTX0
100923American National Life Insurance Company of TexasTX0
100984Cook Children's Health PlanTX0
100002Coventry Health Care Texas (includes Advantra Freedom)TX0
100219Molina Healthcare of TexasTX0
101052Scott & White Health PlanTX0
100263Texas Medicaid Acute CareTX0
101158Texas Medicaid - Long Term CareTX0
100842Universal AmericanTX, NY, ME0
100633New Era Life Insurance CoTX,NE0
101199Blue Cross Blue Shield of Utah (Regence)UT0
101077Utah MedicaidUT0
100972Altius Health Plans (UT/WY/ID)UT,WY, ID0
100096CoventryCares of Virginia (CareNet)VA0
100116Coventry Health Care of Virginia (Southern Health Services)VA0
101141Schaller Anderson MajestaCare VAVA0
100303Virginia MedicaidVA0
100955Blue Shield of Washington (Regence)WA0
100981Community Health Plan of Washington (CHPW)WA0
100982Community HealthFirst Medicare AdvantageWA0
100304Washington MedicaidWA0
101212BridgespanWA, OR0
100905Affinity Health PlanWI0
101129Network Health Plan of WIWI0
100306Wisconsin MedicaidWI0
101069Wisconsin Medicaid Chronic Disease ProgramWI0
101070Wisconsin Medicaid Well Woman ProgramWI0
101235MercyCare Health Plan (WI)WI0
100974CoventryCares of West Virginia (Carelink Medicaid)WV0
100340Coventry Health Care of West VirginiaWV0
100305West Virginia MedicaidWV0
100307Wyoming MedicaidWY0

About The Free Trial

We offer new provider accounts a 14 day trial period for the Payer Gatewayplus application. After you complete the online enrollment process and your account is approved, you will gain access to the Payer Gatewayplus application and begin your free 14 day trial.

This trial includes up to 300 transactions, including Medicare for 14 days. Try it out to make sure that our Payer Gatewayplus will meet your needs and expectations before you are charged anything.

Questions? Head over to our FAQ’s or Contact Us!

"DataLink system is easy to use. Another benefit of working with DataLink is their customer service… always friendly, always prompt, always patient, and always knowledgeable!"

Rayna
Patient Access Manager
Hospital ‐ TX

"We have used DataLink Solutions since 2008, and have not even thought of using another service. They have given us the information we’ve needed when we needed it."

Kris
Insurance Resource Specialist
Ophthalmology Practice - NV

"DataLink Solutions has certainly made my work life less hectic and more manageable. Since using your program my time spent verifying patient insurance has been cut almost in half. DataLink Solutions program is user friendly and reliable. Anytime I have a question or a problem my phone calls have always been returned promptly and the issue resolved."

Nancy
Precertification Department
Neurology Practice ‐ TX

"We have tried at least six different companies to check our Medicare patients and NONE of them are close to the satisfaction and customer care as DataLink Solutions. I love that I can check other insurances and MEDICAID. Other services can't check Medicaid at all. I quit looking several years ago when we started using DataLink Solutions. Thank You !! Thank You!!"

Diann
Office Manager
Podiatry Practice ‐ FL

"DataLink’ s service is fantastic. We’ve had very few problems and the few we’ve had have been resolved quickly. Whether uploading large data files or manually entering the patient information, the system is easy to use and gives us the information we need. I expected DataLink’ s site to be similar to others - slow and time - consuming, which has not been the case. The overall ease of use and quick response times have far exceeded our expectations."

Pennie P.
Administrator
Ophthalmology Practice - FL

 

"DataLink’s payer list sets it apart from all competitors. DataLink delivers on its promise in full, and successfully (and effortlessly) verifies eligibility for the great majority of our patients. The technology is robust and very usable and is continually updated and improved. DataLink’s customer service is top-notch. DataLink’s service is an integral part to our revenue cycle management, providing better data with less effort than manual verification. Knowing whether a patient’s deductible has been met allows us to better inform patients about their financial responsibility and has made it far easier to collect the patient’s portion. DataLink is the only service which truly taps the potential of automated eligibility verification. With DataLink, our practice can verify an entire day's schedule with a few simple clicks."

Mark E
IT Director
Pain Management Practice - AZ

 

 

Providing Excellence Is Our Mission

After all, our success depends on yours.

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800‐845‐0367 Ext. 701

info@datalinkms.com