Imagine your hospital as a bucket collecting revenue—except this bucket has holes you can’t see. While others scramble to catch what’s already spilled, eInsights finds and plugs these leaks before the first bill drops. Hospitals nationwide are losing millions in missed insurance coverage opportunities—money that should be on your bottom line.
Factor | Industry Standard | eInsights Difference |
---|---|---|
Process Timing | Reactive—works after bills are sent | Predictive—finds coverage before first bill drop |
Account Scope | Self-pay accounts only | All patient accounts analyzed |
Support Access | Automated systems with phone trees | Direct access to revenue recovery experts |
Cost Structure | Upfront fees or subscription costs | Pure contingency—you pay nothing until we find you money |
Implementation | Implementation requires significant time | Go-live in as little as 27 days with minimal IT resources |
Our comprehensive healthcare solutions uncover previously unidentified insurance coverage after services are provided but before bills drop. Unlike conventional eligibility verification and coverage discovery tools that only work during intake, we find revenue others miss.
According to the American Hospital Association, hospitals provided over $42.7 billion in uncompensated care annually—much of which could be recovered with proper insurance discovery tools. Learn more about the uncompensated care challenge.
A Revenue Cycle Director at a 350-bed hospital told us:
“We’d already written off millions as uncompensated care. Then eInsights found coverage others missed. In our first quarter alone, they helped us recover $2.8M with zero workflow disruption.”
Our approach can deliver breakthrough results for your operating margin:
Our comprehensive healthcare solutions typically uncover these missed specific opportunities:
Patients who don’t present insurance cards or provide incorrect information
Additional coverage that should be billed after Medicare
Coverage certified after service date
Claims sent to the wrong payer first
Commercial insurance that should be billed before Medicaid
Minor data mismatches that prevent
successful verification
Our comprehensive healthcare solutions combine leading EDI technology with human expertise. When you have questions, you’ll speak directly with an expert—not navigate endless phone trees or chatbots like with competitors.
“When we need help, we get a real person who knows our account immediately. They’re proactive—if they see our accounts are piling up, they reach out before we even notice a problem,” an Analyst at a healthcare provider shared with KLAS researchers. This proactive approach gives our clients confidence in our ability to manage their accounts effectively.
Our technology helps ensure claims will be submitted to the correct payer the first time by correctly identifying the following:
Our comprehensive healthcare solutions can deliver immediate financial relief in today’s challenging healthcare environment, with uncompensated care and tightening margins affecting hospitals nationwide.
Every denied claim represents lost revenue and wasted staff time. A Texas hospital’s billing manager described their struggle:
“We were drowning in denials and write-offs despite our best efforts. The money was earned, but we couldn’t collect it.”
Our comprehensive healthcare solutions changed their financial trajectory by:
After implementing our solution, that same hospital now recovers $500K/month in additional revenue through our Epic integration.
Our comprehensive healthcare solutions integrate seamlessly with your existing systems without disrupting workflows. We understand the importance of compatibility and have designed our solutions to be EHR agnostic. We work with all systems including Epic, Oracle Cerner, Meditech, Athena, CPSI, Allscripts, NextGen, and eClinicalWorks. Our streamlined implementation process delivers results quickly, with minimal IT resources required.
“This has been one of our better implementations. They delivered exactly as promised, and implementation took only 27 days with minimal IT resources. Their team is incredibly competent with go-lives,”
– a VP at a Healthcare System reported to KLAS.
We’ll guide you through every step of the implementation process, from BAA execution to system configuration to go-live. Our team of experts will ensure a smooth transition, with minimal demands on your IT resources. Most hospitals are fully operational within 30-45 days, often sooner, and we’ll be there to support you every step of the way.
A: Our solutions integrate with Epic and Oracle Cerner, however we are EHR agnostic and work with all providers, whether you are on Meditech, Athena, CPSI, Allscripts, NextGen, or eClinicalWorks. Implementation can be completed in as little as 27 days with minimal IT resources required.
A: Traditional eligibility verification confirms already-known insurance at the point of service. Our comprehensive healthcare solutions work predictively, identifying previously unknown insurance before your first bill drops. While others work reactively after billing, we prevent revenue leakage before it occurs.
A: Our comprehensive healthcare solutions identify commercial insurance, Medicare, Medicaid, Medicare Advantage, TRICARE, and other government programs. We can find retroactive Medicaid certification, secondary coverage on Medicare accounts, and commercial coverage on Medicaid accounts that should have been billed as primary.
A: Our clients typically achieve a return of 10:1 to 15:1, with significant results from implementation. Because we work on pure contingency, you only pay when we find you money—there’s zero financial risk to your cash flow.
A: Our HITRUST CSF certification ensures we meet the highest standards for protecting sensitive patient information. This certification demonstrates our commitment to information security and compliance with healthcare regulations, reducing your risk when implementing our comprehensive healthcare solutions.
Don’t let another dollar slip through the cracks. Our comprehensive healthcare solutions can help you recover what you’ve earned within weeks, not months, and you’ll always speak to a real person when you need help.
eInsights serves hospitals of all sizes nationwide, from critical access hospitals to major health systems. Our comprehensive healthcare solutions are fully HIPAA-compliant and HITRUST-certified for maximum security and compliance.