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Average Ratings 0 Ratings

Total
ease
features
design
support

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Write a Review

Description

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

Description

By focusing on fewer high prices and adopting more competitive pricing strategies, we maximize the potential for generating additional net revenues. This is achieved by narrowing or eliminating the discrepancies between charges and negotiated rates for contracts that feature "lesser of" clauses. Furthermore, we bolster net revenues through the identification and recovery of underpayments. Each client benefits from our tailored models, as we avoid pigeonholing their data into a one-size-fits-all software solution. Our bespoke models yield high accuracy since we meticulously analyze every contract, model all relevant terms, verify the correspondence between plan codes and insurance products, and conduct rigorous tests on our models. We take into account every reimbursement affected by price alterations, which leads to the most precise predictions in the industry. Additionally, we offer a pricing methodology that is not only defensible but also clear and understandable for patients, ensuring that our pricing structures are logical and appropriately tiered. Ultimately, our approach leads to enhanced revenue generation while maintaining transparency and fairness in pricing.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Inovalon Provider Cloud

Integrations

Inovalon Provider Cloud

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Inovalon

Founded

1998

Country

United States

Website

www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/

Vendor Details

Company Name

Sophical Solutions

Country

United States

Website

www.sophicalsolutions.com

Product Features

Payment Processing

ACH Check Transactions
Bitcoin Compatible
Debit Card Support
Gift Card Management
Mobile Payments
Online Payments
POS Transactions
Receipt Printing
Recurring Billing
Signature Capture

Alternatives

Alternatives

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