Insurance Discovery & Verification
About
- ARxPRO insurance discovery and verification algorithms combine innovative technology with human intelligence to explore coverage options and sources for patients presenting as self-pay.
Value
- Streamlines and automates workflows
- Identifies patients eligible for, but not yet enrolled in Medicaid
- Allows for retro-Medicaid discovery based on customizable business rule-sets that incorporate economic and demographic information
- Provides for deductible monitoring and management
What Sets Us Apart
- Real-time verification and discovery
- Averages twice the number of queries per payor for each account when compared to other vendors
- Employs direct connections to payor data infrastructures to find more active coverage
- Applies advanced search algorithms for more than 2,000 payor/clearinghouse databases
- Identifies active coverage for upwards of 5% of pure self-pay balances, which nets to 1.5% - 2% in insurance cash recovery (on average)
