Finding coverage patients didn’t know they had prevents financial hardship and helps balance your bottom line.
When patients don’t have coverage, they often can’t pay, which means providers can’t collect. Your ability to find previously unknown Medicare, Medicaid and commercial insurance goes a long way toward eliminating costly self-pay situations, write offs and unwarranted charity designations. Our automated Coverage Discovery® Core solution finds coverage that pays the bills, and gives patients peace of mind.
Coverage Discovery is a tool that helps you find billable Medicaid, Medicare and commercial insurances previously unknown or forgotten, identifying accounts that may be submitted for immediate payment as primary, secondary or tertiary coverages—accounts that are often unnecessarily destined for write-off or charity.
Healthcare organizations that quickly uncover previously unidentified coverage using Coverage Discovery often are paid much sooner, and avoid the collections challenges of self-pay receivables. They also boost patient satisfaction by minimizing the stress associated with medical bills.
This solution accesses search best practices, historical information, multiple proprietary data sources and demographic validation to immediately find out if your patient has previously unknown coverage. And it’s powered by Experian, which means that billions of data assets improve account specific intelligence and maximize found coverage.
Multiple delivery options easily fit Coverage Discovery Core into your revenue cycle and enable you to find coverage in real-time. Confidence Scoring reduces data noise and removes potential false-positives to ensure staff time is focused on actionable accounts. Built-in reporting tools provide insights on product usage, workflows, productivity and financial results.
Murry Ford from Grady Health shares his experience using Experian Health's Coverage Discovery and Registration QA solutions.
Mike Simms shares his experience and success using Experian Health's Coverage Discovery solution.
Every dollar found is a dollar that you aren’t spending to collect from patients, paying for expensive collection agencies, or writing off to bad debt. Complete the form below to find out more about Coverage Discovery.