Insurance Discovery Simplified
Identify undisclosed coverage during patient registration and reduce uncompensated care with our AI-powered insurance discovery technology, a module now available in our Patient Access and Patient Access Plus solutions.
INSURANCE DISCOVERY PRE-SERVICE MODULE
Discover Missing Insurance Details Prior To Care With AI
Our patient access platform not only allows you to verify insurance coverage and benefits in real-time; it also is able to discover coverage that the patient may not even be aware exists.
- Missing, invalid primary and secondary insurance
- Uninsured, charity care and undisclosed by patients
- DNFB, missing patient demographics, CH rejections
Reduce staff time spending hours on the phone or manually navigating payer portals trying to verify incomplete, inaccurate, or expired benefits, as well the risk of write-offs downstream due to missing insurance denials which ultimately impact reimbursement for service delivered.
POWERED BY AI, INTEGRATIONS & ADVANCED ANALYTICS
How Our Technology Uncovers Hidden Details
Input simple fields like patient’s name, date of birth, date of service, payer name, patient subscriber ID, and the provider’s NPI to find coverage. You can also add service type to obtain service level benefits.
RPA Bots Mine For Data
Undisclosed coverage is deep mined from an expansive network of clearinghouses, direct payer connections, and is supplemented through a network of public and private databases.
AI & Analytics Predict, Identify And Verify
Using probabilistic analytics and machine learning, patient demographic information, insurance profiles, and coverage benefits are identified and verified.
RPA Bots Communicate Back To Your EMR
Once previously unidentified coverage is communicated back to your EMR system and is now available to your front desk staff.
REDUCE SELF-PAY ACCOUNTS
Mitigate Risk Of Non-Payment By Self-Pay Accounts
With a rising self-pay population, it’s not uncommon to mark patients whose eligibility could not be determined as self-pay. Avoid marking patients as self-pay when they don’t have their details at time of scheduling by automatically searching for missing coverage details.
Help patients find benefits due to them
Once insurance is discovered, payer details, patient benefits and out-of-pocket payment estimates are displayed in the same dashboard so your staff can inform their patients and collect when required.
Reduce write-offs of uncollectible self-pay accounts
Confirming this data during patient registration results in increased reimbursements downstream because self-pay accounts can now be converted to claims that can be submitted to their insurance.
Avoid making patients unhappy with surprise bills
Patient experience, as well as employee satisfaction, also improves when you can avoid sending patients unexpected bills post-care because patient financial obligations can now be clearly disclosed prior to care.
EDUCATION
Helpful Resources For Your Team
We create educational materials frequently in the form of blog posts, white papers, webinars and podcast episodes which help our clients and peers with common patient access and revenue cycle challenges they face. If you would like us to address a specific topic, feel free to reach out to us. Here are some examples.
Reviews
Our Clients Grow With Us
As we streamline their organization’s patient access workflows, clients are happy with increased results, as well as improved cash flow due to increase in reimbursements and reduction of claim denials due to eligibility. They usually end up retaining us for other revenue cycle management tasks.
“As the entire world has been struggling through the COVID 19 staffing issues, Infinx has been an extension of our office, helping us with the most difficult insurance payors to make sure our patients have the services they need. Not only do they go above and beyond, they understand a patient with real issues is attached to that authorization request. The entire team is transparent, communicative, and is a true team…
We count ourselves lucky to have started a ‘partnership’ with the Infinx team and look forward to future solutions as well.”
Orthopedic Surgical Authorizations Specialist
Orthopedic Group in Michigan
“We have been working with Infinx for nearly a decade and they have been a wonderful partner. We have had normal challenges, like fluctuation in work volumes, industry changes, and the complicated demands of implementing new technologies. Through it all, Infinx has been responsive, reliable and great to work with. We look forward to many more years ahead working together.”
Director of Pharmacy Operations
Pharmacy Group in Illinois
“Your team is so dedicated, accountable and never hesitates to adjust schedules and go above and beyond, each and every day. We appreciate the flexibility you are able to provide when priorities suddenly shift and you are able to change gears with us. An important piece that has made this venture a success is communication – again your team communicate with us on a daily basis…There is never a hesitation to reach out with questions or for further clarification… We truly think of our team from Infinx as a successful extension of us. It is a pleasure to work with you all.”
Director of Reimbursement Operations
National Radiology Group
