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Insurance & Coverage Discovery Services

Automatically investigate insurance coverage with our coverage discovery services and capture every dollar earned

Increased reimbursements

High patient satisfaction

Reduced accounts receivable

Minimum cost and efforts

Seamlessly collect on previously uncollected amounts using automation

Plutus Health understands that robust financial performance demands more than efficient payment processes and clean claims. Thus, we leverage cutting-edge technology to improve accuracy and efficiency. Our insurance discovery services have helped clients collect reimbursements without investing additional revenue and resources.

20

+

Years of Experience

50

K

Discoveries Found or established Every Year

8

-

10

%

Additional Reimbursements

100

+

Healthcare Providers

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Ensure high availability of your services

Check if your patient has secondary or tertiary coverage available, and never lose any payment

Plutus Health’s medical billing specialists leverage artificial intelligence (AI) and machine learning (ML) to find commercial, Medicaid, and Medicare benefits on the primary, secondary, and tertiary levels. Our effective discovery approach helps healthcare providers get desired financial outcomes.

  • Deep mine all the undiscovered coverage from insurance payers and clearinghouses
  • Use machine learning and artificial intelligence to detect insurance profiles, coverage benefits, and patient demographic information
  • Previously unidentified coverage is communicated back to EMR/EHR system or revenue cycle management
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Unlock your desired financial outcomes with effective coverage solutions

Benefits of insurance discovery solution provided by Plutus Health

Plutus Health is the leader in healthcare RCM services. Our coverage discovery solutions have helped thousands of healthcare providers collect reimbursement and increase revenue. Here is a deep dive into the benefits of partnering with Plutus Health.

Plutus Health helps to identify third-party payers’ additional billable coverage. It helps healthcare providers create innovative ways to realize revenue. We use a cutting-edge technology-driven approach to get clarity on bad debts and uncover missed insurance of self-pay patients. On average, we help healthcare providers receive 20% additional revenue with our insurance discovery solutions.

Recovering bad debts is the biggest benefit of coverage discovery. Our team improves the front-end process as the staff can readily identify primary and secondary coverage of the applicant. Additional insurance discovery solutions from Plutus Health also reduce the time spent re-work of denied payments or tracking down lost revenue.

Insurance discovery reduces the patients’ payment burdenand can aid you in improving the overall care experience. Our solutions helpyou create financial relief for patients, thus improving their satisfaction.Also, you can have high patient retention as your patient’s out-of-pocket pricegets reduced. 

Maximum reimbursement
Simplified collections
Increase patient satisfaction

Why choose Plutus Health as an insurance discovery solution provider

Customized options to connect with all the payers according to the needs

Detailed accessibility of Medicaid HMO, Medicaid, and Medicare in all states

Address all the claims denied due to policy termination

Access to all the payers around all the states in the US

Optimize critical components of the pre-bill process

Customized options to connect with all the payers according to the needs

Detailed accessibility of Medicaid HMO, Medicaid, and Medicare in all states

Address all the claims denied due to policy termination

Access to all the payers around all the states in the US

Optimize critical components of the pre-bill process

Insurance discovery solution provided by Plutus Health

Industry's best coverage discovery solutions

Plutus Health’s AI-driven insurance discovery solutions have access to 1000+ payers across the US. We use cutting-edge technology to extract coverage for every patient. Our experts have decades of experience in technology-driven solutions, which help our partners create patient-centric solutions. We provide end-to-end RCM solutions to enhance patient experience and engagement. Our billing experts assist healthcare providers in identifying potential payment sources ensuring high service quality. Thus, helping our partners spend more time engaging self-pay patients.

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Unleash the Power of Possibilities:
Plutus Health's Cutting-edge Insurance Discovery Services

Identify coverage from payers

Improve cash collections

Reduce the coordination of benefits issues

Reduce instances
of bad debts

Capture accounts opportunity

Address all the claims denied due to policy termination

Detailed accessibility of Medicaid HMO, Medicaid, and Medicare in all states

Customized options to connect with all the payers according to the needs

Access to all the payers around allthe states in the US

Optimize critical components of the pre-bill process

Additional benefits offered by Plutus Health’s coverage discovery solutions

  • Perform eligibility verification to ensure newly found coverage is not affected

  • Select in-network providers and provide out-of-network alerts

  • Uncover all the valuable patient information in the form of unknown coverage

  • Comprehensive financial analysis with detailed data and reports

Get Started

Ensure high availability of your services

What our clients are saying about us?

Plutus Health has helped us stay ahead in the business. We have increased our revenue and patient satisfaction. Our practice has significantly benefited from the assistance of Plutus Health’s professionals. We now focus more on patient care and engagement of self-pay patients.

Linda

Blogs

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