Insurance verification software with a proven track record
In today's complex healthcare landscape, accuracy of insurance verification programs is essential. You need a solution to help you avoid claim denials, payment delays and potential fraud. Coverage Insight™ enhances precision, minimizes denials and boosts revenue.
Identify undisclosed coverage and increase revenue
Leading-edge technology
Leverage advanced data mining, machine-learning algorithms and predictive analytics. Our tools are fully integrated with our expansive network of payers. We’re connected to more than 600 internal and external sources.
Intelligent analytics
Create an in-depth demographic profile of each patient, including historical and current data. Our complete data sets include names, addresses, employers, prior insurance coverage, motor vehicle accident (MVA) reports and more.
We find trending elements using algorithms to compare against historical data, such as income strata and carriers in specific residential areas.
High-quality data
Use direct payer and third-party connections to verify a patient’s beliefs and insurance information. Remove irrelevant information with enhanced screening.
Proven impact
We’ve cleared $800 million in annual patient balance. And we’ve driven $241 million in annual provider recovery.
Key benefits
Achieve accurate revenue with reliable data for impactful results to improve your insurance verification programs.
Achieve accurate revenue
Find undisclosed reimbursement sources within 2 to 24 hours. Pay only for accounts that yield a net gain with a percent or fixed fee, per benefit unit.
Reduce anti-phishing risk
We validate all demographic and insurance profiles. Our suppression feature rejects an average of 40% of accounts due to identity risk to deliver highly reliable data back to the provider.
Increase patient and staff 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.
Let's start a conversation
We’re here to help you find out how our services could benefit your organization. Complete this quick form, and someone will reach out to you soon.
Our experts will:
- Discuss your individual use case and business needs
- Explain our features, benefits, and services
- Show how this solution can help achieve your goals
Related healthcare insights
E-book
Find out how to shift your revenue cycle left, focusing on front-end revenue cycle management (RCM) capabilities.
Guide
Understanding the reasons for your claim denials is the first step to preventing them from happening in the future.
![10 Hurdles to Reimbursement [E-book]](/content/dam/optum-dam/images/business/insights/10-hurdles-ebook-1080x720.jpg)
E-book
Focus on the specific hurdles that hinder your claims and cause most of your denials. We'll walk you through how to clear each obstacle.
Product information and resources
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Download e-book
PDF
E-book
Continuous coverage discovery
Learn how your organization can convert uncollected self-pay accounts into revenue. Our 2-stage approach links pre- and post-service analysis in real time.
