Uncover Hidden Revenue with Insurance Discovery
Transform self-pay accounts into billable insurance claims and maximize your revenue recovery
Stop Leaving Money on the Table
Every year, healthcare providers write off millions in revenue from patients categorized as self-pay—when many of these patients actually have active insurance coverage.
Our Insurance Discovery service uses advanced data analytics and comprehensive database searches to uncover previously unknown insurance coverage and to flag demographic discrepancies. This helps you bill the right payer and recover revenue you thought was lost.
The Self Pay Challenge
Research shows that 20-30% of patients initially classified as self-pay actually have billable insurance coverage at the time of service. Without proper insurance discovery processes, providers either:
- Write off these accounts as bad debt
- Pursue patient collections unnecessarily
- Miss the timely filing window for insurance claims
This results in unnecessary revenue loss and frustrated patients who are being billed when their insurance should have covered the service.
Our Comprehensive Discovery Process
Automatic Flagging of Demographic Discrepancies
Our discovery process automatically flags demographic discrepancies such as DOB, address, and payer info that may prevent eligible claims from being billed correctly.
Smart Technology
We use weighted confidence scores and historical data to help us identify accounts with 99% accuracy and minimize false positives before transferring to bad debt.
Advanced Database Searches
We search multiple insurance databases and eligibility systems to identify active coverage across major payers, including commercial insurance, Medicare, Medicaid, and government programs.
Next Day Turnaround Time
Thanks to our smart technology, results are ready within 24 hours, if not the same day.
End-to-End Insurance Detection
Finds billable coverage throughout the patient revenue cycle.
Real-Time Verification
Once coverage is discovered, we verify eligibility and benefits to ensure the policy was active at the time of service.
Multi-Layer Coverage Identification
Beyond primary insurance, we identify secondary and tertiary coverage that can reduce patient responsibility and maximize your reimbursement.
Post Service Monitoring
We automatically scan accounts receivables at 30, 60, 90 days after service for active insurance.
Why Partner with One Mnet Health for Insurance Discovery?
Reduce Potential Claim Denials
Verify coverage accurately to minimize denials
Reduce Bad Debt Write-Offs
Discover coverage before accounts age beyond recovery
Advanced Database Searches
Capture more revenue by uncovering hidden coverage
Improve Patient Satisfaction
Reduce unnecessary patient billing when insurance should pay
Reduce Manual Work
Smarter coverage discovery helps your team work faster with fewer manual steps
Accelerate Payments
Get payments faster thanks to billing the correct payer from the beginning
When Insurance Discovery is combined with our Patient Billing service, you'll be able to maximize your revenue and reduce delayed payments
1.Pre-DOS FinancialEngagement
Set patient expectations and collect advance payments before a procedure.
3.Early-OutPatient Billing
Boost patient payments after insurance adjudication with exclusive data-driven outreach.
4.Bad DebtCollections
Recover aged balances with patient-centric communication and protect your reputation.