Home/Technology/Insurance Discovery AI
04 / Revenue Protection

ASP-RCM Insurance Discovery. Find the coverage before you write it off.

Self-pay isn't always self-pay. A meaningful share of "uninsured" patients have active coverage somewhere, Medicaid, COBRA, employer plan, secondary. The ASP-RCM discovery engine sweeps national payers and reduces self-pay AR by recovering coverage you didn't know existed.

How it shows up
multi-payer
coverage sweep
In-production capability across the active client portfolio.
What it actually does

The capabilities, spelled out.

No black boxes. Here’s exactly what this layer does, end to end.

01

Self-pay sweep across national payers

Multi-payer coverage discovery in seconds.

02

Medicaid retro-eligibility detection

Finds patients eligible during dates of service.

03

Secondary & tertiary coverage discovery

For patients with primary already on file.

04

Demographic + SSN-based search

No manual phone calls to payers.

05

Daily re-sweep on aged AR

Coverage that wasn't active becomes active.

06

Automated billing rebatch

Once coverage found, claim rebuilt and submitted.

How we describe it

Capabilities, in plain language.

multi-payer
coverage sweep
across national payers
self-pay
reclassified to billable
where active coverage exists
national
payers swept
commercial, Medicaid, Medicare
fast
recovery cycle
from sweep to cash posted
How it works

From event to outcome.

A real picture of the workflow. Not a marketing diagram.

01
Account flagged self-pay

Either at registration or moves to AR.

02
Discovery engine sweeps

Multi-payer search by patient demographics.

03
Coverage found?

Insurance details returned with effective dates.

04
Claim rebuilt

AR specialist rebuilds claim against new payer.

05
Cash posted

Recovered revenue, audit trail preserved.

Representative engagement

Trauma-center ER, Midwest.

"We were writing off a meaningful amount each year as self-pay bad debt. ASP recovered a real share of it in year one, most of it Medicaid we never knew was active."
Directional outcomes: first 12 months
Self-pay write-offtrending down
Medicaid retro-coverage foundmeaningful
Net recovery year onemeaningful

Ready to see Insurance Discovery AI on your data?

We’ll run a 30-day analysis on a sample of your claims and show you what would have been recovered, denied, or flagged. No obligation.