Coverage Discovery
Services
Our coverage discovery service identifies active insurance for uninsured or underinsured patients — recovering revenue that would otherwise be written off as bad debt. Per DrCare MSO's analysis of 140,000 claims processed in 2024, practices recover an average of $2M in previously unidentified reimbursement annually.
Self-Pay Converted
Revenue Recovered
Discovery Time
Accuracy Rate
Coverage Types We Discover
We search across every coverage type to maximize your revenue recovery — from major commercial payers to niche state programs most practices never check.
Commercial Insurance
Search across 850+ commercial payer databases including Blue Cross, Aetna, UnitedHealthcare, Cigna, and regional carriers.
Medicare & Medicaid
Identify active Medicare Part A/B, Medicare Advantage, and state Medicaid eligibility for qualifying patients.
Workers' Compensation
Discover active workers' comp claims and employer-sponsored coverage that patients may not disclose.
VA & TRICARE
Identify veterans' benefits and TRICARE eligibility for military families and retired service members.
Auto & Liability
Discover automobile insurance and third-party liability coverage for accident-related encounters.
CHIP & State Programs
Find Children's Health Insurance Program and state-specific assistance program eligibility.
Turn Write-Offs Into Revenue
Self-pay accounts represent a significant revenue opportunity that most practices overlook. Our coverage discovery technology searches hundreds of payer databases to identify active insurance for patients who registered as uninsured — converting potential write-offs into paid claims. Per MGMA's 2024 Cost and Revenue Survey, the industry benchmark for self-pay conversion is 12%; DrCare MSO clients average 30% — 150% above that mark.
Zero-Risk Revenue Recovery
Our contingency-based model means you pay nothing unless we deliver results. We invest our technology, expertise, and resources to find coverage and recover revenue for your practice — you pay a percentage of successfully collected claims only. No setup fees, no retainers, no search charges.
Ready to See What's Hidden in Your Self-Pay Accounts?
Send us a sample of 30 days of self-pay accounts — we'll run a no-cost discovery pilot and show you exactly how much revenue is recoverable before you commit.
Request a Free Discovery PilotHow Coverage Discovery Works
A four-step process designed to find every available coverage source for every self-pay account
Data Collection
Gather patient demographics and encounter data for all self-pay and uninsured accounts via secure SFTP or EHR export.
Multi-Source Search
Run searches across 850+ payer databases, government programs, and workers' compensation carriers simultaneously.
Verification
Verify and validate all discovered coverage with real-time eligibility checks — 95% accuracy rate before any claim is submitted.
Claim Conversion
Prepare and submit claims for all accounts with discovered coverage, including complete documentation and timely filing review.
Frequently Asked Questions
"Before DrCare MSO, we wrote off 68% of self-pay accounts. Within 90 days of starting their coverage discovery program, we converted 31% of that population to active insurance claims. Our net revenue from previously uninsured patients went from $18K a month to $74K — a shift that completely changed our facility's financial position."
Marcus T. Okafor, MHA
Chief Financial Officer, Southwest Regional Medical Center
"We had 2,200 accounts flagged as self-pay across the prior two quarters. DrCare MSO ran discovery on all of them in under 72 hours. They found active coverage on 640 accounts — 29% — that we never would have billed. Our AR days on newly admitted self-pay patients dropped from 58 to 27 once we built discovery into our standard intake flow."
Dr. Priya Nambiar, MD, FACEP
Medical Director & Practice Owner, Coastal Emergency Physicians Group
Explore Related Services
AR Recovery & Follow-Up
Recover outstanding balances on aged accounts by working denials, underpayments, and no-response claims before they write off.
Learn more →Denial Management
Identify root causes behind payer denials and build a correction-and-appeal workflow that cuts denial rates below 5%.
Learn more →Medical Billing Services
End-to-end claim preparation, scrubbing, and submission across all specialties — with real-time reporting on every account.
Learn more →Prior Authorization
Submit, track, and appeal prior auth requests across 200+ payers so your clinical team can focus on patient care instead of paperwork.
Learn more →Have Questions?
Let's Discuss
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contact@drcaremso.com
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