Insurance Discovery

Insurance Discovery is a healthcare software designed to uncover billable insurance coverage, thereby increasing revenue and enhancing patient satisfaction. It efficiently identifies primary, secondary, and tertiary insurance coverage without complicating your team's workflow.

The software achieves an average hit rate of 43.04% on previously uninsured accounts, identifying active coverage across various care settings. This capability helps decrease claim denials and reduces the days accounts remain in receivables by ensuring claims are submitted to the correct payer using verified insurance data.

Insurance Discovery confirms coverage and eligibility through verified demographic data, reducing the need for manual searches. It provides a fast, all-in-one payer inquiry to find accurate insurance coverage in seconds.

Key Benefits

• Eliminates manual searches for insurance coverage.
• Improves financial clarity and reduces billing surprises by helping individuals understand coverage details.
• Conducts an expanded payer search to uncover all types of coverage, including managed care and specific plan types like HMO or PPO.
• Customizable to fit specific workflows, with options to set rules by facility, patient, or state and automate retry timing if payer networks are unavailable.

Insurance Discovery processes over 11 million patient files annually, potentially generating over $695 million in additional revenue for providers at a conservative reimbursement rate. It retrieves the patient's Medicare Beneficiary Identifier (MBI) and verified demographic details in one inquiry, streamlining claims from the start and supporting faster, cleaner claims throughout the revenue cycle.

Testimonials from healthcare organizations highlight the software's ability to reduce manual work and speed up payments, with customization options that fit specific needs.