Insurance Coverage Discovery
Some accounts marked self-pay have coverage nobody captured. We check for active insurance so that claims go to the right payer before a balance lands on the patient.
What missed coverage costs
Self-pay accounts with hidden coverage
Patients change plans, forget a secondary, or arrive without a card, and the account goes down the wrong path.
Eligibility denials
Terminated coverage or the wrong plan is often found only after the service, when fixing it is harder.
Wrong coordination of benefits
Billing primary and secondary in the wrong order delays payment from both.
What is included
- Pre-visit eligibility and benefit checks (270/271)
- Coverage searches on self-pay accounts
- Secondary and tertiary coverage checks
- Coordination of benefits review
- Demographic corrections
- Rebilling to newly found payers
- Summary of accounts found and billed
Scope is confirmed for each client during the assessment.
How we work
Send us the list
Share upcoming visits or open self-pay accounts through a secure channel.
Check coverage
We run eligibility checks and flag accounts with active or conflicting coverage.
Route to billing
Accounts with coverage go on for billing within filing limits. The rest stay on your patient-pay path.
Talk to us about Coverage Discovery
Share a few details about your practice. We will review them and call you within one business day.