Discovery Health Partners has developed a unique approach to managing member eligibility independent of a claim being filed. Our solution enables health plans to proactively correct eligibility errors at the source and pay more claims correctly the first time, resulting in millions in cost avoidance and overpayment recovery.
Our solution analyzes internal and third-party data sources to identify potential eligibility errors, then applies rigorous validation processes to accurately determine eligibility status. We create a trusted source for verified eligibility data, which delivers improved payment accuracy and member and provider satisfaction.
- Proactively correct member eligibility errors
- Avoid downstream eligibility overpayment costs
- Reduce claims re-processing costs