[PIZZICATO STRINGS MUSIC PLAYS]
[FEMALE] Every year, providers lose
millions of dollars because patient accounts
are mislabeled as self-pay due to undisclosed
insurance coverage.
Identifying hidden sources of reimbursement
is key to helping reduce
uncompensated care,
lower the cost to collect
and alleviate patients’ financial stress.
Coverage Insight can help. Here's how it works.
During registration, patients may not be aware
of all the coverage they have.
Our technology enabled service
systematically screens all uninsured accounts for
undisclosed payment sources.
Our insurance coverage screening
and payer targeting process complies with
the Anti-phishing mandate of CMS and commercial payers.
The unique suppression feature
rejects profiles with identity risk to help
minimize the risk of PHI compromise,
as well as profiles associated
with nonbillable accounts.
Together, an estimated 40% of all profiles are suppressed.
We return highly reliable
net new insurance data to you,
that includes Medicaid, Medicare, and commercial payers,
typically within 24 hours.
While individual results may vary,
on average, our customers realize
a 12 to 14% hit rate for their uninsured accounts
at a 90% bill rate.
And in 2023,
we found $280 million in reimbursement for our customers.
With Coverage Insight,
we can help you convert self-pay accounts into revenue faster.
By using advanced data collection and analysis,
we can create robust patient profiles,
pinpoint funding sources,
support anti-phishing regulations,
verify policy coverage,
and keep staff focused on billable coverage.
In addition to using Coverage Insight
to convert self-pay accounts to coverage, you can also screen
known Medicaid accounts for undisclosed primary coverage.
Detecting existing primary coverage
helps you bill the correct payer first.
It helps prevent coordination
of benefit denials for Medicaid and facilitate
maximum reimbursement.
Our comprehensive approach
to insurance discovery helps organizations realize
substantial benefits in reduced denials rework,
and administrative burden, plus faster payments.
Contact us today to learn more about Coverage Insight.
[MUSIC ENDS]