Hidden commercial & secondary coverage
A patient presents as self-pay or with a single payer but has undisclosed additional insurance. Without continuous monitoring, that billable coverage stays invisible and becomes a write-off.
Discovery Safeguard
Discover Missed Insurance and
Discover Missed Insurance and
Recover Cash
Continuous coverage discovery that uncovers unknown insurance your intake systems miss.
For demonstration only. Patient details are fictional and results are not guaranteed.
Why continuous discovery
Continuous coverage discovery saves millions
Point-in-time eligibility checks offer only a momentary view and often miss coverage changes that happen afterward. Hospitals lose over $42 billion annually to uncompensated care, much of which may stem from undetected insurance.
Retroactive Medicaid eligibility
Patients often gain Medicaid retroactively. These approvals can unlock significant reimbursement, but only if detected.
Payer changes and updates
Insurers merge, plans change, employers switch providers. Ongoing discovery ensures you have the current, correct payer information before timely filing deadlines or denials.
Even the best intake systems miss billable coverage, leaving millions on the table.
Discovery Safeguard actively uncovers unknown insurance using advanced revenue cycle coverage-discovery safety-net technology. Designed to minimize staff burden, we reduce denials, boost reimbursements, and integrate with your workflows, so your hospital gets paid without adding strain to your team.
For example: a 460-bed Midwest hospital achieved $1 million in monthly recoveries by uncovering hidden coverage.
460-bed Midwest hospital
Monthly recoveries
$0
recovered / month
How it works
Runs quietly behind the scenes, alongside your existing tools
Discovery Safeguard provides ongoing protection against lost revenue, finding what was missed the first time, often identifying coverage other solutions overlook.
Retroactive Medicaid eligibility detection
Scans all closed accounts for retroactive approvals, identifies backdated eligibility periods, and converts write-offs into reimbursable claims.
Ongoing payer monitoring
Continuously monitors accounts post-service to detect changes in primary coverage status, newly effective commercial plans, payer switches, and previously unknown secondary and tertiary plans.
Seamless system integration
Compatible with Epic and Cerner, delivering direct to workflows, work queues, or flat file ingestion. Minimal IT lift, no workflow disruption, and HIPAA-audited with comprehensive data protection.
Want the details before you talk to us?
We'll send a short overview of how continuous discovery works, our security posture, and what a pay-on-recovery engagement looks like.
HIPAA-compliant SFTP exchange. No required workflows.On its way.
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Where it makes the biggest impact
The accounts where coverage hides
With ongoing coverage detection, hospitals can capture revenue that would otherwise go unclaimed.
Discovery Safeguard finds what was missed the first time, running alongside any other eligibility or discovery solutions you already have, so no billable coverage slips through the cracks.
Highest-impact account types
- Self-pay accounts with hidden coverage, converts 3–7% of these accounts into reimbursable claims, directly reducing bad debt.
- Already-insured patients with missed coverage, uncovers additional payers on 0.25–0.50% of insured accounts, boosting reimbursement on underpaid or partially denied claims.
- Fix COB and filing errors before they cost you, surfaces correct primary, secondary, and tertiary payer sequences, preventing missed timely-filing deadlines and cash-flow disruptions.
Key benefits
Recovery without added strain
Recover written-off revenue
Surface billable coverage hiding in self-pay, closed, billed, and $0-balance accounts that would otherwise become permanent write-offs.
Pay only on what we recover
Performance-based engagement with no upfront cost. If there is no payable coverage to find, there is no fee.
Zero added FTEs
Discovery runs automatically in the background. Your team acts on ready-to-bill coverage instead of manual searching.
Enterprise-grade security
SOC 2 Type II and HIPAA-compliant. Every account is handled through an encrypted SFTP exchange, audited end to end.
“
The implementation was really smooth for us.Hospital VP
Discovery Safeguard vs. traditional coverage discovery
A wider net, verified higher
Feature
Traditional coverage discovery
Discovery SafeguardScope of review
Typically limited to primary coverage
Uncovers both primary and secondary coverage
Integration
Often requires manual intervention
Epic 271 integration
KLAS rating
Segment average: 90.2
95.8 out of 100
Client retention
Industry average: 82.4%
100% would buy again
FAQ
Common questions about Discovery Safeguard
Timelines vary by system, but our team ensures a smooth, efficient go-live, often within weeks, with minimal disruption.
Our system searches all accounts for unknown coverage, including commercial insurance, Medicare, Medicaid, Medicare Advantage, TRICARE, and other government programs that may be certified retroactively.
No. While it delivers significant value by converting self-pay accounts, it finds unknown primary, secondary, and tertiary coverage for already-insured patients, corrects payer information, and identifies retroactive eligibility across various account types.
We offer flexible, hybrid integration options, including secure file transfers, U271 integration, and billing indicator files, depending on your specific EHR and workflow preferences. Results are typically fed directly into work queues or our interactive web-based portal for efficient action.
No, the goal is to reduce manual workload. Discovery Safeguard automates the intensive search for coverage. While your team must act on the verified coverage information provided (for example, rebilling claims), the time spent manually hunting for and verifying coverage is drastically reduced or eliminated.
Get started
Ready to See What You're Missing?
Stop letting hidden coverage drain your hospital's revenue. Discover the financial uplift waiting in your billed or closed accounts. Let Discovery Safeguard be your ongoing protection against missed reimbursement.