Real-time eligibility.
Real-time enrollment.
You're treating insured patients. You just don't know it yet.
- AI screening. eIdentify coverage opportunities in real-time across Medicaid, commercial insurance, disability programs, and financial assistance
- Expert counselors. Navigate complex state requirements with direct SSA andMedicaid agency access across all 50 states
- Digital enrollment tools. Anytime, anywhere 24/7 access enables >90% of patients to complete self-screening, with 40% engaging on the first text
AI-Powered Eligibility & Enrollment Across Five Critical Areas
Simplify enrollment and prevent coverage gaps
Insurance Discovery & Verification: Explore every coverage option. Algorithms identify eligibility across all programs—Medicaid, commercial, workers' compensation, specialty coverage. State specialists verify Medicaid coverage in all 50 states.
Medicaid Enrollment & Redetermination Support: Certified application counselors navigate complex state-specific requirements. Center's extended hours prevent coverage gaps during redetermination.
Disability Program Navigation: Our representatives are SSA's Appointed Representative Services, providing real-time document management and case tracking. Our medical review teamprepares comprehensive briefs to facilitate faster claim determinations.
Maximize claims approval and reimbursement speed
Claims Optimization & Approval Acceleration: Maximize reimbursement through expert navigation of complex program requirements and direct agency relationships. Ensure applications are complete, accurate, and submitted with all required documentation.
Denial Prevention & Recovery: Prevent denials with predictive analytics and process mining. When denials occur, our specialized teams manage the full appeals process from initial reconsideration through administrative law judge hearings.
Payment Acceleration: Reduce days in accounts receivable through streamlined workflows, automated eligibility verification, and real-time status tracking.
Maximize financial recovery and minimize patient burden
Bad Debt Reduction: Convert self-pay accounts to covered status before they age into bad debt through real-time screening at point-of-care.
Uncompensated Care Reduction: Reduce charity care and uninsured discounts through comprehensive screening that identifies every possible funding source, from government programs, through commercial insurance, specialty programs, and community assistance.
Financial Assistance Optimization: Simplify and accelerate the financial assistance process with digitized screening that identifies qualification patterns across federal, state, and local assistance programs.
Pharmacy Assistance Programs: Reduce patient out-of-pocket costs and improve medication adherence. Identify patients eligible for prescription assistance programs, coordinate enrollment, and ensure ongoing support.
AI-powered automation handles routine processing tasks
Digital Patient Intake & Self-Service: Mobile-optimized tools thatwork 24/7. Our branded microsite enables patients to complete financial screening, upload documents, and track application status from any device.
Automated Workflows & Intelligent Processing: AI powers routine tasks while flagging complex cases for expert review. Our Patient Advocate Copilot provides real-time guidance to staff.
Digital Document Submission & E-Signature: DocuSign integration, mobile document capture, and secure patient portals enable 24/7 document submission with real-time status updates.
System Integrations &Data Exchange: Seamlessly integrate with your existing technology stack through APIs, EDI file transfers, and custom interfaces.
Transform data into actionable business insights
Performance Dashboards & Real-Time Monitoring: Daily dashboards provide visibility into screening rates, conversion rates, approval rates, turn around times, and financial impact with drill-down capabilities.
Comprehensive Reporting: Access detailed reports on assignments, approvals, inventory aging, conversion rates, returns, and digital engagement metrics.
Forecasting & PredictiveAnalytics: Anticipate coverage changes, identify emerging trends, and proactively address potential issues before they impact revenue.
Opportunity Analysis & Continuous Improvement: Identify untapped opportunities for additional coverage and revenue recovery through data analysis and benchmarking.
Results that scale across every engagement
99%
gross approval rate
$7.75B
approved funding
>93%
completion rate
>60%
