Coverage Insight™

[PIZZICATO STRINGS MUSIC PLAYS]

[The Optum logo in orange, in the center of an off-white background. The O expands outwards transforming the screen. Graphics of a hospital, a doctor holding a tablet and another doctor listening to a patient’s chest using a stethoscope appear.] 

NARRATOR: Every year, providers lose millions of dollars… 

[The animations shrink upwards to occupy only the top half of the screen and an animation of a tablet screen extends upwards from the bottom. On the screen is a patient profile including an image of the patient whose chest is being listened to by the doctor and his insurance status. A finger reaches up and taps the Self-pay status button.] 

NARRATOR: …because patient accounts are mislabeled as self-pay due to undisclosed insurance coverage.

[The tablet expands to fill the screen and the Self-pay menu expands to fill the right-hand side of the screen. The finger scrolls through the information located below the Self-pay header.] 

NARRATOR: Identifying hidden sources of reimbursement is key to helping reduce uncompensated care, lower the cost to collect and alleviate patients’ financial stress.

[At the bottom of the list is a dollar-sign icon. The list scrolls to the side and is replaced by text and an image of a lightbulb.] 

On-screen text: Coverage Insight™.

NARRATOR: Coverage Insight can help. 

[The finger taps the box and the image flashes and disappears.]

NARRATOR: Here's how it works.  

[The tablet disappears and is replaced by an animation of a person sitting in a chair, holding a tablet.]

NARRATOR: During registration, patients may not be aware of all the coverage they have.  

[An animation of a magnifying glass enters the frame and comes to rest over the person. An animated laptop screen slides in behind the magnifying glass with dollar-sign symbols down the left-hand side of the screen, and icons showing images of people on the right. The person’s head is still visible in the magnifying glass.]

NARRATOR: Our technology-enabled service systematically screens all uninsured accounts for undisclosed payment sources.  

[The magnifying glass leaves the frame, so that only the laptop screen is visible. The shot zooms out to show the whole laptop and an orange shield with a tick appears on the screen and expands to fill it.]

NARRATOR: Our insurance coverage screening and payer targeting process…  

[The laptop slides to the left, shrinking slightly and text appears alongside.]

On-screen text: Complies with CMS and commercial payers. 

NARRATOR: …complies with the Anti-phishing mandate of CMS and commercial payers. 

[The screen transitions off to the left and an icon with person’s head in profile inside appears. Text appears alongside it. A red circle with an X inside appears attached to the bottom of the icon.] 

On-screen text: Rejects profiles with identity risk.

NARRATOR: The unique suppression feature rejects profiles with identity risk to help minimize the risk of PHI compromise…  

[The screen transitions off and is replaced by an icon of a calculator with a bill coming out of it. Text appears alongside it. A red circle with an X inside appears attached to the bottom of the icon.]

On-screen text: Rejects profiles associated with nonbillable accounts. 

NARRATOR: …as well as profiles associated with nonbillable accounts. 

[The image transitions off and is replaced by a progress ring which fills slightly more than a third.] 

On-screen text: 40% of all profiles are suppressed.

NARRATOR: Together, an estimated 40% of all profiles are suppressed.  

[The image transitions off and is replaced by an animation of a sheet with several patient profile icons. The sheet transforms, focusing on one of the patient profile icons, with graphics indicating data appearing next to it and expanding to fill the page. Colored icons with text appear at the bottom of the page.]

On-screen text: Medicaid. Medicare. Commercial. 

NARRATOR: We return highly reliable net new insurance data to you, that includes Medicaid, Medicare, and commercial payers, typically within 24 hours. 

[The image slides off-screen to the left and is replaced by a laptop with a patient profile icon. A hand uses the touchpad of the laptop and graphs and charts appear next to the patient icon. Text appears above the laptop.] 

On-screen text: 12% to 14% hit rate for their uninsured accounts at a 90% bill rate.

NARRATOR: 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.  

[The image slides off-screen to the left and is replaced by a red cross. The cross transforms so that the different arms are made up of a folded dollar note, a credit card and another information card. Text appears below.]

On-screen text: $280 million in reimbursement for our customers. 

NARRATOR: And in 2023, we found $280 million in reimbursement for our customers. 

[The image transitions off and is replaced by a patient profile icon.  

NARRATOR: With Coverage Insight, we can help you convert self-pay accounts… 

[The patient profile icon transforms into a coin with a dollar-sign on it which sparkles] 

[DINGING NOISE]

NARRATOR: …into revenue faster. 

[A magnifying glass appears over the coin and a graph and line appear under its lens. The image slides to the left as the line grows to the right. A patient profile icon appears at the end of the line with text.]

On-screen text: Robust patient profiles. 

NARRATOR: By using advanced data collection and analysis, we can create robust patient profiles…

[The line extends down creating a new row below and slightly the right. A map location pin with a dollar coin inside it appears with text.] 

On-screen text: Pinpoint funding sources.

NARRATOR: …pinpoint funding sources… 

[The line extends down creating a new row below and slightly the right. An envelope with an orange shield icon appears with text.]

On-screen text: Support anti-phishing regulations. 

NARRATOR: …support anti-phishing regulations…

[The line extends down creating a new row below and slightly the right. A credit card with a tick inside appears with text.] 

On-screen text: Verify policy coverage.

NARRATOR: …verify policy coverage… 

[The line extends down creating a new row below and slightly the right. A patient profile card appears with text.]

On-screen text: Focus on billable coverage. 

NARRATOR: …and keep staff focused on billable coverage. 

[The image continues in the same direction, transitioning off and a lightbulb appears.] 

NARRATOR: In addition to using Coverage Insight… 

[The image zooms out to show the lightbulb on the screen of a laptop.] 

NARRATOR: …to convert self-pay accounts to coverage… 

[The lightbulb slides to the left side of the screen and patient information appears on the right.] 

NARRATOR: …you can also screen known Medicaid accounts for undisclosed primary coverage. 

[The patient information slides to the left to cover the lightbulb, and a mouse cursor icon appears. A new window appears on the right containing an icon with a dollar sign and a phone with a credit card inside its screen.] 

NARRATOR: Detecting existing primary coverage helps you bill the correct payer first. 

[The laptop slides off to the left and leaves behind an animation of a folder, a page slides out of the folder and lands on top of the folder. A tick icon attaches itself to the bottom right of the page.] 

NARRATOR: It helps prevent coordination of benefit denials for Medicaid… 

[The folder and page disappear and are replaced by an animation of a bar chart which grows over time. A large orange tick points diagonally upwards above the bars.] 

NARRATOR: …and facilitate maximum reimbursement. 

[The bar chart slides off and is replaced by an orange magnifying glass. In the lens there is a patient profile icon. Lines and arrows extend off from the patient profile icon.]  

NARRATOR: Our comprehensive approach to insurance discovery… 

[The magnifying glass slides to the left and one of the lines extends out to the right. An icon appears at the end of the line showing a phone lying on its back. A folder, papers and a credit card are standing upright on the phone of the screen. A tick icon attaches itself to the bottom of the icon and text appears.] 

On-screen text: Reduce denials rework and administrative burden.

NARRATOR: …helps organizations realize substantial benefits in reduced denials rework, and administrative burden…  

[Another line extends from this icon diagonally up to the right and a new icon appears showing an upright phone with a credit card partially nested inside its screen. A tick icon attaches itself to the bottom of the icon and text appears.]

On-screen text: Faster payments. 

NARRATOR: …plus faster payments. 

[The image slides off-screen and is replaced by an orange circle with a person’s head inside, wearing a headset. Text appears below.] 

On-screen text: Contact us today. Optum.com/coverageinsight.

NARRATOR: Contact us today to learn more about Coverage Insight. 

[The O from the Optum logo reappears from the edge of the screen, transforming the screen to once again show the off-white background. The O comes to rest in the middle of the screen then extends slightly outwards, being joined by the other letters to make up the Optum logo.]

[MUSIC ENDS]