Coverage Verified. Revenue Protected.

Accurately verify eligibility with advanced searches that reduce manual follow-up and improve response accuracy.

• Locate correct Medicare Beneficiary Identifiers through automated MBI lookup

• Retry “not found” responses with cascading search using alternate patient data combinations

• Identify secondary payer coverage to support accurate claim filing

Make payer responses easier for staff to navigate with enhancements that surface the most useful details faster.

• Receive normalized 271 responses that make coverage and benefit details easier to understand

• Prioritize preferred service-level benefits so staff can find relevant details first

• Tag key benefits with pre-defined messages for consistent data interpretation

• Return key payer information in a prominent location to reduce staff time sorting through payer responses

Keep insurance verification inside existing EHR workflows so staff can work without unnecessary system switching.

• Embed eligibility checks within EHR registration workflows, including Epic, Oracle Cerner, and MEDITECH

• Return results to EHR worklist, including Epic work queues and sidebar checklists, for faster staff action

• Automate data flow to and from the EHR to reduce duplicate entry and manual follow-up

Complete the coverage picture by uncovering missing, expired, or unknown insurance with FinThrive Insurance Discover.

• Search for active coverage across self-pay, expired coverage and unknown coverage scenarios

• Deliver discovered coverage through Access Coordinator or integrated Epic workflows

• Support more complete financial clearance across the patient journey

Our Insurance Verifier solution is powered by FinThrive Fusion®, a connected data intelligence engine that enables the AI, automation, analytics and intelligent agents embedded throughout the FinThrive RCM platform.

• AI and automation drive smarter eligibility searches and clearer responses while automating repetitive tasks

• Optical character recognition (OCR) and natural language processing (NLP) technology are leveraged to accurately read insurance card data and extract key eligibility details faster

• Connected coverage data links eligibility information across workflows to give teams better visibility

• Actionable insights are surfaced where staff already work to support faster eligibility decisions and denial prevention