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Solutions

Every form of payment, for every patient, at the point of registration.

One screening covers the entire front-end revenue cycle — from first admission to aged bad debt. Every screening starts with real-time verification — identity, residency, citizenship, income, and existing coverage — so the eligibility answer rests on evidence, not assumptions.

Flagship

CoverMe Marketplace

A custom coverage marketplace built for your facility. Our proprietary scoring engine screens every patient against every payer source — commercial, Medicaid, Medicare, third-party liability, and assistance programs — and ranks the paths most likely to pay. Medicaid eligibility comes back in real time, while the patient is still at the desk.

Explore Marketplace →
  • Acute Marketplace — match patients with coverage at registration and admission
  • Post-Acute Benefit Check — de-risk long-term-care referrals before you accept them
  • Confidence Score — know the likelihood of payment upfront
  • Real-time results — eligibility, risk, and financing options in minutes
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Every solution below answers a provision of the 2025 Medicaid law.

Six-month redeterminations make intake screening non-negotiable. Shrinking retroactive windows make Retrocheck time-sensitive. Rising coverage churn makes HPE your strongest hedge. Map the law to your revenue cycle →

CoverMe Retrocheck

Your bad debt isn't all bad. Retrocheck runs aged accounts back through our discovery engine to find coverage that existed at the date of service — then converts write-offs into cash.

  • Retroactive and undisclosed coverage discovery
  • Bad-debt and aged-A/R conversion
  • Proprietary four-step access process
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Insurance Discovery

Discover the coverage your patients don't disclose — or don't know they have. AI-driven identification runs automatically on every account, so found coverage becomes billed coverage.

  • AI-driven coverage identification
  • Fully automated processes
  • Maximized net revenue per encounter
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Financial Assistance & Charity

Turn your FA policy into an automated workflow: screening, auto-filled applications, document tracking, and empathetic patient counseling — with IRS 501(r) documentation built in.

  • Custom FA policy automation
  • Patient interview insights & risk evaluations
  • Application and document tracking
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Patient Balance Financing

Balances patients can actually pay. We connect your patients to 0% and low-interest lending partners with fast pre-approvals — improving collections while protecting patient loyalty.

  • Recourse and non-recourse programs
  • Fast, data-driven pre-approvals
  • Patients keep control of their payments
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HPE Eligibility & Compliance

Hospital Presumptive Eligibility, automated. Assess temporary Medicaid qualification the moment care is delivered and keep your program continuously audit-ready — the strongest hedge against Medicaid churn.

  • Immediate temporary-Medicaid assessment
  • Continuous HPE compliance monitoring
  • Coverage that starts when care starts
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CoverMe Complete

Short-staffed? Our HIPAA-compliant team handles patient information collection, admission interviews, and data entry — an extension of your registration team, without the headcount.

  • Admission interviews handled for you
  • HIPAA-compliant data collection & entry
  • Ideal for lean registration teams
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CoverMe LTC

Long-term-care intakes completed before admission. Verify insurance, assess risk, auto-fill documents (including medical applications), and capture digital signatures — zero paperwork, backed by the CoverMe Confidence Score.

  • Real-time financial assessment for LTC admissions
  • Identity, residency, income & asset verification
  • Case managers decide with data, not guesswork
Learn more →
For States CaseVue

Eligibility verification and risk scoring for states

Eligibility verification and risk assessment for state Medicaid, SNAP, and human services programs. CaseVue reviews your case information, supplements it with authorized third-party data, and returns a case-level risk score with the factors and sources behind it — determinations stay with your agency.

Explore CaseVue →
  • Program integrity and access — flags risk, clears verified cases
  • Works with your eligibility system — secure transfer, no replacement
  • Contact us for a demonstration — findings on your own cases in about a week
  • Thirty years in public programs — dozens of states, Medicaid, LTC, SNAP
How Engagement Works

Five steps from kickoff to captured revenue.

01

Activate

Rapid onboarding that plugs into your existing intake workflow.

02

Augment

Real-time data feeds enrich every registration with eligibility intelligence.

03

Analyze

Our scoring engine ranks every payer path by likelihood of payment.

04

Advance

Applications, documents, and signatures move automatically — zero paperwork.

05

Achieve

Coverage captured, compliance documented, revenue collected.

See what CoverMe would find in your patient population.

A five-minute conversation, no commitment, using your own numbers.

Schedule a Demo →
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