Use eInsights to Discover Missed Insurance and Recover Cash
Stop losing sleep over missed revenue. As a hospital CFO or RCM director, you know even the best intake systems miss billable coverage—leaving millions on the table. Discovery Safeguard actively uncovers unknown insurance using the most advanced Revenue Cycle coverage discovery safety-net technology.
For instance, a 460-bed Midwest hospital achieved $1 million in monthly recoveries by uncovering hidden coverage. Fully HITRUST-certified and designed to minimize staff burden, we reduce denials, boost reimbursements, and seamlessly integrate with your workflows, ensuring your hospital gets paid without adding strain to your team.
Why Continuous Coverage Discovery Saves Millions in Healthcare
Traditional point-in-time eligibility checks offer only a momentary view, often missing coverage changes that occur afterward. The American Hospital Association highlights that hospitals lose over $42 billion annually to uncompensated care, much of which may stem from undetected insurance. With Discovery Safeguard’s ongoing coverage detection, hospitals have the potential to capture significant revenue that might otherwise go unclaimed.
What does this mean for your hospital's finances?
Hidden Commercial & Secondary Coverage:
A patient presents as self-pay or with only coverage from one payer, but actually has another insurance they do not disclose. Without continuous monitoring, this billable coverage remains invisible, leading to write-offs.
Retroactive Medicaid Eligibility:
Patients often gain Medicaid coverage retroactively. These approvals can unlock significant reimbursement, sometimes accounting for millions in potential hospital revenue, but only if detected. Tools to detect retroactive Medicaid coverage are essential.
Payer Changes & Updates:
Insurers merge, plans change, and employers switch providers. Patient don’t always know their plans changes or alert you when they do. Ongoing discovery ensures you have the current, correct payer information before claims hit timely filing deadlines or result in costly denials.
Relying solely on upfront checks leaves substantial revenue on the table. Discovery Safeguard provides the continuous coverage discovery searching needed to close these gaps.
How Discovery Safeguard Works Across the Revenue Cycle
Discovery Safeguard operates quietly and efficiently behind the scenes, regardless of any other eligibility or coverage discovery solutions you have in place to provide ongoing protection against lost revenue. It’s designed to find what was missed the first time around – often identifying coverage other solutions or processes might overlook, giving you confidence in its effectiveness.
Retroactive Medicaid Eligibility Detection
Navigating the complexities of retroactive Medicaid can be a major drain on resources. Our system simplifies this by performing a continual search for post-service Medicaid approvals. Retroactive Medicaid eligibility often goes undetected—costing hospitals millions. Discovery Safeguard simplifies the process by:
Scanning all closed accounts for retroactive approvals
Identifying backdated eligibility periods
Converting write-offs into reimbursable claims
Ongoing Payer Monitoring
Discovery Safeguard continuously monitors patient accounts post-service to detect critical updates, including:
Changes in primary coverage status
Newly effective commercial plans
Payer switches due to employment or plan changes
Identification of previously unknown secondary and tertiary plans
This ongoing search ensures you’re billing the right payer with the right information prior to the timely filing deadline.
Seamless System Integration
Discovery Safeguard is built for the real world of hospital IT with HITRUST CSF Certification and full HIPAA compliance, demonstrating our commitment to data security and risk management. We offer flexible delivery options for providers on all major EHR systems, with some fully integrated options:
| Integration Features | Benefits |
|---|---|
| Compatible Systems | Epic, Cerner |
| Delivery Methods | Direct to workflows, work queues, or flat file ingestion |
| Implementation | Minimal IT lift with no workflow disruption |
| Security | HITRUST-certified with comprehensive data protection |
Results are delivered directly into your existing workflows—maximizing efficiency without disruption. This makes Discovery Safeguard a natural extension of your revenue cycle process while protecting patient data and your hospital’s reputation.
Where Discovering Insurance Makes the Biggest Impact
Discovery Safeguard isn’t just finding loose change; it’s recovering significant revenue across multiple account types. Our clients typically see measurable financial uplift:
Self-Pay Accounts with Hidden Coverage
Many accounts initially classified as self-pay have billable coverage discovered post-service. Discovery Safeguard consistently converts 3–7% of these accounts into successful, reimbursable claims, directly reducing bad debt.
Already-Insured Patients with Missed Primary/Secondary/Tertiary Coverage
Even when one insurance is known, additional coverage is often missed at registration. Our continuous monitoring typically uncovers additional payers on 0.25–0.50% of insured accounts, boosting reimbursement on claims that might be underpaid or partially denied.
Fix COB and Filing Errors Before They Cost You
Discovery Safeguard takes a proactive approach to revenue protection by surfacing the correct primary, secondary, and tertiary payer sequences. This correction prevents common revenue cycle denial challenges such as missed timely filing deadlines, ensuring data accuracy and preventing potential cash flow disruptions.
Key Benefits of Continuous Coverage Discovery Monitoring
Financial Benefits with No Added Staff Burden
Our coverage discovery automation enhances your revenue cycle performance with proven results:
Increased Revenue
Unlock missed coverage, as demonstrated by a 460-bed Midwest hospital recovering $1 million monthly through hidden coverage discovery.
Reduced Write-Offs
Convert 3–7% of self-pay accounts into billable claims, minimizing lost revenue.
Fewer Denials
Proactively correct payer information before timely filing deadlines.
Operational Efficiency
Your team can focus on recovery actions rather than manual searching, thanks to automated processes.
Zero Added FTEs
Advanced automation eliminates the need for additional staff, as confirmed by our seamless integration approach.
This proactive revenue protection strategy empowers your existing team to prioritize high-value activities over time-consuming eligibility tasks.
HITRUST-Certified, Secure, and Non-Disruptive
Protecting patient data and ensuring smooth operations are paramount. Discovery Safeguard is HITRUST CSF Certified, demonstrating the highest commitment to data security and risk management, protecting your hospital’s reputation and patient trust. Fully HIPAA compliant, our implementation requires minimal IT lift and integrates seamlessly, not disrupting your established workflows. We partner with you to ensure a smooth, secure, and effective deployment.
What Makes Our Approach Different
Safeguard - eInsights vs. Traditional Coverage Discovery
| Feature |
Discovery Safeguard
|
Traditional Coverage Discovery |
|---|---|---|
| Scope of Review | Uncovers Both Primary And Secondary Coverage |
Typically, Limited To Primary Coverage |
| Integration | Provides Epic U271 integration | Often requires manual intervention |
| KLAS Rating | 95.8 out of 100 | Segment Average: 90.2 |
| Client Retention | 100% of clients would buy again | Industry Average: 82.4% |
Our client-focused approach ensures dedicated support tailored to your needs, contrasting with less personalized alternatives. Our direct integration with Epic streamlines workflows, as noted by a hospital VP: “The implementation was really smooth for us.” This commitment to quality and efficiency, backed by recognition from KLAS Research, highlights why leading hospitals value Discovery Safeguard as a trusted partner for revenue protection.
MAXIMIZE REVENUE
Without changing Your Existing Systems.
FAQs About Missed Insurance Discovery
How fast can Discovery Safeguard be implemented?
A: Implementation timelines vary based on system specifics, but our team is experienced in ensuring a smooth, efficient go-live, often within weeks. We prioritize minimal disruption to your operations.
What types of coverage can Discovery Safeguard detect?
A: Our system searches ALL accounts for unknown coverage this includes including commercial insurance, Medicare, Medicaid, Medicare Advantage, TRICARE, and other government programs that may be certified retroactively.
Is Discovery Safeguard only for self-pay accounts?
A: No. While it delivers significant value by converting self-pay accounts, it finds unknown primary, secondary and tertiary coverage for already-insured patients, corrects payer information, and identifies retroactive eligibility across various account types.
How does it integrate with our existing systems (e.g., Epic, Cerner)?
A: We offer flexible, hybrid integration options, including secure file transfers, U271 integration and billing indicator files, depending on your specific EHR and workflow preferences. Results are typically fed directly into work queues or our interactive web-based portal for efficient action.
Will this increase the workload for our FTEs?
A: No, the goal is to reduce manual workload. Discovery Safeguard automates the intensive search for coverage. While your team must act on the verified coverage information provided (e.g., rebill claims), the time spent manually hunting for and verifying coverage is drastically reduced or eliminated.
Ready to See What You’re Missing?
Stop letting hidden coverage drain your hospital's revenue. Discover the financial uplift waiting in your billed or closed accounts. Let Discovery Safeguard be your ongoing protection against missed reimbursement.
