Providers, labs and health systems

accountNRH-40921
statusself-pay Active
planBCBS, state plan

A written-off account, resolved to the plan that was there all along.

You know the accounts. Self-pay balances that were worked once and written off. Patients who never gave registration an insurance card. On a share of those accounts, active coverage was there on the date of service, and nobody found the plan before the balance went to bad debt.

If you already have a discovery vendor, send us only the accounts it could not resolve; the results add to what you have. If your clearinghouse or billing partner already works with us, the results may already be in your file.

Start with

RCM and billing firms

Run after your vendor, on the accounts it could not resolve. The output drops into the queue you already work.

Revenue cycle management firms and billing firms are paid on what they collect. On contingency, the hit rate is the business: the share of accounts where coverage is found. A few points of additional coverage across a book of accounts changes the economics of the whole contract, without adding people.

Run us as a second pass after your current vendor, on a sample of your inventory first. The output file drops into the work queue you already run, funding type tells your appeals team which pathway applies, and the results can go out under your own name.

Start with

Clearinghouses and technology partners

One flag in the request, one line in the response, inside the product your customers already use.

Clearinghouses are the networks that carry claims and eligibility requests between providers and payers. They, and the software platforms providers already use, hear the same request from their customers: find the coverage, including the Blue plans, without a member ID. The choice is to build it or to add it.

All Payer Insurance Discovery, funding type and Claim Status and Resolution can run inside your own product, under your brand, on your contract terms. Funding type is one flag in a request and one line in a response: a field, not a project. It is a white label, not a referral. Your customers stay yours.

Start with

Tell us where you sit.

A first conversation starts with your own accounts. We will suggest which product to try first and what to send.

Schedule a conversation