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