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Insurance Discovery Solutions

Identify hard-to-find health insurance coverage to maximize reimbursements

Get an insurance discovery solution tailored to your business

Maximize reimbursements from uncompensated care and underpaid accounts. TransUnion Healthcare’s market-leading methodologies scale to meet all insurance discovery needs, including complex cases involving multiple commercial and government payers. Our insurance coverage discovery solutions explore all possible avenues to identify hard-to-find coverage from third-party payers — resulting in a healthier bottom line.

Hospitals and health systems

Our robust insurance discovery platform helps identify incomplete, inaccurate or missing patient data to find maximum coverage for hospitals and health systems. This scalable offering delivers automated, customizable reports that identify billable government and commercial coverage.

Through built-in revenue cycle analytics, we find and prioritize black hole accounts, track KPIs for improved staff management and help reduce A/R days. These analytics are delivered directly through an interactive dashboard.

This insurance discovery solution can convert 1 – 5% of a hospital’s uncompensated care accounts.

Our insurance coverage discovery solution for hospitals and health systems:

  • Continuously looks for coverage on all accounts (not just self-pay)
  • Finds additional payment opportunities from complex cases including Medicaid secondary and potential coordination of benefits opportunities
  • Identifies commercial policy ID numbers for patients believed to be uninsured
  • Monitors Medicare and Medicaid for retroactive SSI certification
  • Offers a contingency-based payment structure — we don’t get paid until your revenue is recovered

This solution has industry-backed validation — it’s HITRUST CSF® certified, KLAS© reviewed and HFMA© Peer Reviewed1.

Learn more about our solution for hospitals and health systems >
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