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Insurance Discovery

ZOLL® AR Boost® Insurance Discovery Finds All Active, Billable Coverage in Real Time

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In a world of ever-rising deductibles and copays, patients struggle to cover self-pay costs and healthcare billers are working harder and longer to capture earned revenue. What if you could reduce your patients’ financial burden and improve self-pay conversion at the same time?

Our ZOLL AR Boost Insurance Discovery tool automatically explores every coverage option and payer source for patients presenting as self-pay and finds billable primary, secondary, tertiary coverage in real-time. On average, it discovers commercial and/or government coverage for more than 30% of presumed self-pay patients, including retroactive Medicaid for up to 5% of uninsured patients.

And, it’s the only insurance discovery tool that delivers a confidence score based on our proprietary, 108-point algorithm. That means fewer errors, better results, and intelligent decision making aligned with your business needs.

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Find More Active Coverage With Expansive Searches

Using the latest mapping logic and multiple layers of redundancy, the tool is designed to automatically hunt down the most elusive payers and discover more active, billable options. It pre-empts and solves the problem of “coverage not found” and “inactive” without any patient outreach by:

  • Searching 2,000 payers, clearinghouse databases, and direct connections
  • Identifying unique, primary, secondary, and tertiary coverage — including retroactive Medicaid
  • Ranking payer coverage
  • Identifying managed care and advantage replacement plans
  • Listing relevant plan types (HMO, PPO, etc.)
User configuring settings on laptop

Reduce Workload With Automation and Configurable Settings

Billers save countless hours of time by leveraging powerful, automated technology that’s also flexible. You can even request more conservative or liberal confidence scoring to align with your needs. Configure settings and customize rules to suit your specific processes. For example:

  • Retry insurance verification for a specific number of hours
  • Run transactions for Medicare replacement payers
  • Run transactions for managed care plans
  • Determine actionable information
  • Accept returned results with built-in exclusions
  • Create custom exclusions to eliminate false coverage
  • Create rules based on facility, patient, state, and payer

What Is a Medicare Beneficiary Identifier (MBI)?

As of January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) requires Medicare Beneficiary Identifiers (MBIs) to be used for all Medicare transactions such as billing, claim submissions, and appeals. The 11-character patient identification numbers replace the social security number-based health insurance claim numbers (HICNs) previously used for Medicare patients.

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Benefits of ZOLL AR Boost
Insurance Discovery

  • Maximize revenue by finding more active, billable coverage
  • Find commercial and/or government coverage for more than 30% of self-pay patients
  • Reduce write-off losses by identifying retroactive Medicaid eligibility for up to 5% of uninsured patients
  • Reduce overall self-pay accounts receivable
  • Reduce patients’ financial burden

What Is a Medicare Beneficiary Identifier (MBI)?

As of January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) requires Medicare Beneficiary Identifiers (MBIs) to be used for all Medicare transactions such as billing, claim submissions, and appeals. The 11-character patient identification numbers replace the social security number-based health insurance claim numbers (HICNs) previously used for Medicare patients.

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What Is a Medicare Beneficiary Identifier (MBI)?

As of January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) requires Medicare Beneficiary Identifiers (MBIs) to be used for all Medicare transactions such as billing, claim submissions, and appeals. The 11-character patient identification numbers replace the social security number-based health insurance claim numbers (HICNs) previously used for Medicare patients.

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