OUR EXPERTISE = CLIENT VALUE & FACILITY REVENUE
Retroactive Insurance Discovery
Missed coverage means lost revenue for facilities and unnecessary stress for patients. We review self-pay and charity accounts to uncover insurance that may have been overlooked at intake or after discharge—including Medicaid, commercial policies, and marketplace plans.
Our process helps hospitals recover dollars that would otherwise be written off, while giving patients the relief of knowing their care is covered. It’s about creating second chances for both facilities and patients.
Medicaid & ACA Enrollment Support
Navigating public benefits can be overwhelming for patients and time-consuming for facilities. We simplify the process by guiding patients step by step through Medicaid and Affordable Care Act applications, ensuring no eligible coverage is missed and utilizing Special Enrollment Options.
This hands-on support reduces patient delays in care while improving facility reimbursement rates. Everyone benefits when the enrollment process is clear, fast, and accurate.
Insurance Verification & Eligibility
Upfront eligibility checks are critical to reducing denials and delays. Our team verifies commercial, Medicaid, and marketplace coverage, confirming benefits and authorization requirements before claims are submitted.
By catching issues early, facilities protect their revenue cycle and patients avoid surprise bills—creating trust and smoother care from start to finish.
Patient Advocacy & Navigation
Patients often face confusing paperwork, unclear instructions, and stress around coverage. We step in as advocates, helping them understand their options, complete required documentation, and stay connected to the benefits they qualify for.
This support empowers patients to focus on their health while easing the administrative burden on hospital staff.
Reporting & Revenue Insights
Data tells the story of both patient impact and financial recovery. We provide customized reporting that highlights recovered dollars, outstanding opportunities, and trends in coverage eligibility.
These insights help facilities measure results, strengthen compliance, and forecast more accurately—all while demonstrating the value of coverage-focused patient support.