What is CoverMe?
CoverMe is a SaaS-enabled solution tailored for healthcare facilities to streamline patient eligibility and coverage discovery. By leveraging automated, real-time data feeds, the platform identifies the correct payor sources at the point of service, enabling acute and post-acute care providers to verify benefits, estimate costs, and access a variety of financial assistance options within minutes.
CoverMe supports hospitals, skilled nursing facilities, and clinics with tools for comprehensive risk assessment, IRS and ACA compliance, and patient balance financing. The platform seamlessly integrates into existing workflows, equipping providers to reduce revenue loss, improve coverage insights, and optimize the collection process for both insured and uninsured patients.
Features
- Real-Time Eligibility Verification: Provides instant patient eligibility assessments at admission.
- Comprehensive Coverage Discovery: Uncovers various payor and financial assistance options, including third-party sources.
- Patient Balance Financing: Enables fast pre-approvals for flexible medical payment plans.
- Financial Assistance Screening: Streamlines charity and assistance application and tracking processes.
- IRS and ACA Compliance: Supports healthcare providers in maintaining compliance with regulatory requirements.
- Cloud-Based Platform: Integrates without disrupting existing workflows and adapts quickly to provider needs.
- Data-Driven Analysis: Gathers and analyzes critical financial and risk information efficiently.
Use Cases
- Verifying patient insurance eligibility at hospital admission.
- Identifying new coverage opportunities for underinsured or uninsured patients.
- Offering patient-friendly financing options for outstanding medical balances.
- Ensuring compliance with healthcare regulatory standards such as IRS 501r and ACA.
- Automating screening and application processes for financial assistance and charity care.
FAQs
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What types of healthcare providers can use this platform?
CoverMe serves hospitals, skilled nursing facilities, assisted living facilities, and medical clinics seeking to optimize patient eligibility and coverage discovery. -
How does the platform help improve compliance?
The platform supports healthcare providers with tools and processes to meet IRS 501r and ACA audit standards, ensuring ongoing compliance. -
Can the solution be integrated without workflow disruption?
Yes, CoverMe's cloud-based environment is designed to integrate seamlessly into existing workflows with minimal disruption. -
Does the platform support patient balance financing?
Yes, CoverMe offers data-driven patient balance financing, enabling fast pre-approvals for both recourse and non-recourse lending programs.
Helpful for people in the following professions
CoverMe Uptime Monitor
Average Uptime
100%
Average Response Time
346.06 ms
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