CoverMe - Retrocheck

Identify Missed Opportunities To Get Paid

Unearth hidden revenue for previously forgotten balances. discover insurance coverage for bad debt write offs classified incorrectly as self-pay. Regain your retro billing opportunities with a one-time cost that doesn’t devour your collection proceeds.

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CoverMe Identifies The Right Types Of Coverage, From The Right Programs, For The Right Patients

Utilizing innovative and practical technology solutions, CoverMe supplies acute and post-acute care providers with the tools needed to assess risk, analyze eligibility and gather critical financial information.

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Conversions

Millions worth of conversions in charges on self-pay accounts.

Opportunities

Millions of hidden billing opportunities & coverage discovered.

Conversions

Self-Pay patients converted to medicaid coverage in real-time.

Solutions

Self-Pay patients find payment solutions that had been previously overlooked.

Conversions

Millions worth of conversions in charges on self-pay accounts.

Opportunities

Millions of hidden billing opportunities & coverage discovered.

Conversions

Self-Pay patients converted to medicaid coverage in real-time.

Solutions

Self-Pay patients find payment solutions that had been previously overlooked.

The Cover Proprietary Access Process Instantly

Identifies and rectifies errors in patient demographic and insurance details.

Ascertains missed opportunities in eligibility determination.

Uncovers insurance options including coordination of benefits to obtain payment.

Investigates financial information through hundreds of data sources to ensure that no payment solution is missed.

Identifies and rectifies errors in patient demographic and insurance details.

Ascertains missed opportunities in eligibility determination.

Uncovers insurance options including coordination of benefits to obtain payment.

Investigates financial information through hundreds of data sources to ensure that no payment solution is missed.

Power through the murky details to discover unknown coverage and payment options.

FAQ

How does CoverMe help us uncover missed billing opportunities?

The CoverMe Retrocheck function helps healthcare providers such as hospitals, nursing facilities and other medical institutions uncover missed billing opportunities with retrospective coverage discovery. CoverMe has a safety net program to help review self-pay accounts post-discharge to ensure that an available payer source wasn't missed.

Do you have a system in place for retrospective payments?

We will identify every possible Medicaid coverage for the patient and ensure the provider is reimbursed for the medical bills. The CoverMe Retrocheck function can discover missed coverage and billing opportunities and help you recover them retrospectively.

To what extent of backdated billing opportunities can CoverMe help uncover?

CoverMe can help uncover missed coverage billing opportunities retrospectively for a time period of 90 days to 1 year in the past.

What software should we install? What does the license cost?

This is a Web-based platform. So no software will be required to be installed. Write to us to know about the pricing.

Will CoverMe become a partner with hospitals to provide professional assistance?

CoverMe can provide additional services such as call center support. Get in touch with us to discuss how we can help you.

How does CoverMe's retro check work?

CoverMe has an easy to set up and risk-free solution for retrospective eligibility checks for the entire filing period of each self-pay. It starts with healthcare providers sharing batch files via SFTP. CoverMe’s proprietary algorithm/technology then scans for retroactive coverage options for both private insurance and Medicaid. We send a detailed report of our findings of previously unknown commercial and government coverage for the identified patients to the healthcare provider. Thus, with CoverMe’s automated solution, there will be no need for medical providers to assign people resources to determine eligibility requirements.

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