Discovery®
Howitworks
WithExperianHealth’sCoverageDiscovery®solution,findingavailablecoveragehasemuchmoreecient.CoverageDiscoverylocatespatients’mercialinsurancesthatwereunknownorottenbsthroughMedicareandMedicaidcoverage.Thispullsountsthatmayhavebeendestinedasawrite-oorcharityandfindscoveragethatcanbesubmittedforimmediatepaymentasprimary,secondaryortertiaryinsurance.
MORETHAN
$66BILLION
In2021,CoverageDiscoverytrackeddownpreviouslyunknownbillableinsurancecoverageinmorethan27.5%ofself-payountsandfoundmorethan$66billionincorrespondingcharges.
CoverageDiscoverycoverstheentirepatientprocess
Itscanspatientswithoutinsurancebeforetheyreceivecare.
ItintegratespatientessandHIS/PMSplatformsforon-demandinsurancescansatthetimeofservice.
Itscanstheentireountsreceivablesystemforactiveinsurance30,60and90daysafterapatientreceivesservice.Itsearchesproprietarydatabasesandhistoricalinformation.Plus,itleveragesweightedconfidencescoring,whichreducespotential“falsepositives.”
TheCoverageDiscoveryManageroptionperformsafinalscanonpatientbalancesbeforesendingtheountstobad-debtcollections.Thisautomaticallydetectsdiscrepanciesthatcancauseuratefinancialclassifications.Becauseitworksonacontingencyfeepricingmodel,there’snorisk.anizationspayExperianHealthonlywhentheygetpaid.
HowCoverageDiscoverybenefitsyouranization
CoverageDiscoverymaximizesinsurancereimbursementrevenuebyidentifyingountsthatareeligibleforpaymentasprimary,secondaryortertiarycoveragethrougheitherprivateinsuranceorMedicaidandMedicare.Thisleadstofewerountsgoingtobad-debtcollectionsorbeingwrittenoascharity.Italsoautomatestheself-payscrubbingprocess—anduserscanviewproductusage,workflows,productivityandfinancialresults.
FormoreinformationonhowExperianHealthcanhelpanizationfindpreviouslyunidentifiedcoverage,visit/healthcare.
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