Payer Discovery
Helps you uncover missing insurance coverage using payer connections, historical data, and advanced logic.
Leveraging hundreds of payer connections, historical healthcare transactions, and rules-based algorithms, Solutions Group uncovers an average of 58 unique payers.
Three Solution Tiers
Pre-Bill Scrubbing (Enhanced)
After demographic cleanup, uncovers a payer on an average of 46% of accounts in the pre-bill process.
Retro Scrubbing
Back-end solution uncovers a payer on an average of 26% of accounts when scrubbing before collections. Ongoing retroactive search up to 60 days.
Automated & Integrated
Depending on your billing system, we help automate the entire process via SFTP or API.
A sophisticated billing system isn't enough.
An EMS billing provider in New England implemented an advanced billing system but continued facing challenges identifying billable insurance.
"A sophisticated billing system doesn't solve the problem of finding coverage that wasn't there before."
Seamless Integration & Customization·Streamlined workflows via SFTP or API, with minimal interruption to your processes.