You do everything you can to provide the highest level of patient care and satisfaction. Unfortunately, you’re not always able to collect the compensation you’re owed for the services you provide. Industry trends are creating more self-pay patients, which can make collections more challenging for medical providers. 

One of the most effective ways to combat the out-of-control costs of uncompensated care is to find unknown insurance coverage for self-pay accounts with maxRTE Insurance Discovery. Access payers in a single click, and learn in seconds about health insurance coverage/benefits that self-pay patients may not know they were entitled to. Our batch file option through EHR integration or file transfer via SFTP makes Insurance Discovery an extremely easy tool for verifying eligibility that will help you find coverage and speed up your revenue cycle.

Our proprietary technology locates a higher percentage of unknown commercial and exchange payer plans, workers compensation benefits, Third-party administrators (TPAs), and Cobra coverage compared to other solutions. And our ability to unearth unknown government coverage, including Medicare (with Medicare Beneficiary Identifier [MBI]), Medicaid, and Tricare is unmatched. In addition, our Insurance Discovery technology and processes identify patient insurance plans that are at risk of future remit take backs, giving you the opportunity to prevent them.

A big part of preventing uncompensated care is to give patients accurate information about health benefit eligibility upfront. Our insurance verification software also gives front office staff immediate access to patient eligibility before services are rendered. This kind of eligibility verification can increase patient satisfaction because they’ll avoid denials and problems from non-coverage. They may also discover coverage for which they didn’t know they were eligible. Accurate insurance eligibility verification will also insure you take care of your business needs. 

Best of the Bunch

Our proprietary algorithm technology and extensive knowledge of payer filing and retro-approval periods enable us to provide a solution that consistently outperforms other software in finding previously unknown coverage. In fact, it excels in every key area—value pricing, ease of installation, superior support, and flexible processing—as shown in the following chart:

News from maxRTE: Insurance Discovery