Artificial Intelligence Leads Invicta’s Insurance Discovery Solution

When hospital patients don’t have sufficient insurance coverage, they often can’t pay for medically necessary healthcare services. 

Financial hardship for individual patients and their families has a direct impact on their healthcare providers. If patients can’t pay for services, providers are not compensated. 

Insurance Discovery is a revenue cycle management solution that helps to identify incomplete, inaccurate and/or missing patient information to find the maximum coverage opportunity for hospitals and health systems. 

Taking advantage of the newest innovations in Insurance Discovery can make a significant difference for providers’ bottom lines. 

Invicta Health Solution’s organizational structure and “automate first” approach led to the launch of a robust, highly effective Insurance Discovery solution. Helping to prevent financial hardship for patients and increasing reimbursements for providers is a win for everyone. 

What are the key facts on Invicta’s Insurance Discovery solution?

Our Artificial Intelligence-driven Insurance Discovery solution accesses over 1000 payers nationwide.

  •  Invicta delivers results along with a patient demographic information data warehouse to address any claims that were denied due to policy terminations.
  •  We make Medicare, Medicaid and Medicaid HMO coverage details accessible for all 50 states. 
  •  We don’t need a hospital’s existing payer list to produce results. Our solution will customize to ensure that a provider’s payers are already in our robust accessible list. Further, we have customization options to limit certain payers using the technology within our platform.
  •  No payers are excluded, and all are available with Invicta’s solution. 

We use Artificial Technology to build out the “whole picture” for each patient.  

  •  We streamline and optimize critical components of the pre bill process.
  •  Our algorithms utilize the hospital location and the patient’s demographics, current address as well as any previous address the patient has held over the prior six months when determining payers to check for coverage. 
  •  Our Medicare Beneficiary Identifier (MBI) technology integrates with our Discovery solution to resolve Medicare eligibility gaps and return MBI information as opposed to traditional 271 responses.

Our Insurance Discovery solutions team has decades of experience integrating machine technology with patient-centric customer service standards. 

  •  We serve as an extension of the provider’s business office in all RCM processes, augmenting the team to elevate patient engagement and experience. 
  •  We can assist more patients in identifying all potential sources of payment for their health services, while maintaining a high standard of quality. This allows enrollment team specialists to spend more time focusing on self-pay patient engagement.

We identify coverage from payers that other vendors may miss, helping reduce instances of bad debt and improving cash collection.

  •  We use our experience and knowledge to create faster, smarter, and more accurate results and to implement continuous enhancements to our technology solutions. 
  •  Invicta runs all accounts against our superior technology to ensure there are no other payers available for patients that were perhaps not captured by admissions, reducing coordination of benefits issues. 
  • In other words, Invicta captures account opportunities that others might send back to the provider already labeled as “self-pay.

If you’d like to utilize Invicta’s AI Insurance Discovery solution for your organization, contact us at info@invictahs.com.

LEARN MORE


When hospital patients don’t have sufficient insurance coverage, they often can’t pay for medically necessary healthcare services.

Financial hardship for individual patients and their families has a direct impact on their healthcare providers. If patients can’t pay for services, providers are not compensated. 

Insurance Discovery is a revenue cycle management solution that helps to identify incomplete, inaccurate and/or missing patient information to find the maximum coverage opportunity for hospitals and health systems.

Taking advantage of the newest innovations in Insurance Discovery can make a significant difference for providers’ bottom lines.

Invicta Health Solution’s organizational structure and “automate first” approach led to the launch of a robust, highly effective Insurance Discovery solution. Helping to prevent financial hardship for patients and increasing reimbursements for providers is a win for everyone. 

What are the key facts on Invicta’s Insurance Discovery solution?

Our Artificial Intelligence-driven Insurance Discovery solution accesses over 1000 payers nationwide.

  •  Invicta delivers results along with a patient demographic information data warehouse to address any claims that were denied due to policy terminations.
  •  We make Medicare, Medicaid and Medicaid HMO coverage details accessible for all 50 states. 
  •  We don’t need a hospital’s existing payer list to produce results. Our solution will customize to ensure that a provider’s payers are already in our robust accessible list. Further, we have customization options to limit certain payers using the technology within our platform.
  •  No payers are excluded, and all are available with Invicta’s solution. 

We use Artificial Technology to build out the “whole picture” for each patient.  

  •  We streamline and optimize critical components of the pre bill process.
  •  Our algorithms utilize the hospital location and the patient’s demographics, current address as well as any previous address the patient has held over the prior six months when determining payers to check for coverage. 
  •  Our Medicare Beneficiary Identifier (MBI) technology integrates with our Discovery solution to resolve Medicare eligibility gaps and return MBI information as opposed to traditional 271 responses.

Our Insurance Discovery solutions team has decades of experience integrating machine technology with patient-centric customer service standards. 

  •  We serve as an extension of the provider’s business office in all RCM processes, augmenting the team to elevate patient engagement and experience. 
  •  We can assist more patients in identifying all potential sources of payment for their health services, while maintaining a high standard of quality. This allows enrollment team specialists to spend more focusing on self-pay patient engagement.

We identify coverage from payers that other vendors may miss, helping reduce instances of bad debt and improving cash collection.

  •  We use our experience and knowledge to create faster, smarter, and more accurate results and to implement continuous enhancements to our technology solutions. 
  •  Invicta runs all accounts against our superior technology to ensure there are no other payers available for patients that were perhaps not captured by admissions, reducing coordination of benefits issues. 

If you’d like to bring Invicta’s Denial Management services to your organization, contact us at info@invictahs.com for more information.

LEARN MORE