CoverMe is a SaaS-enabled marketplace providing AI-driven solutions for acute and post-acute care providers to manage patient eligibility, coverage, and financial risk. The platform automates real-time insurance eligibility verification, financial investigation, and application prefill, dramatically reducing manual effort and accelerating admission decisions.
Key capabilities include Coverage Discovery, which utilizes proprietary data sources to pinpoint unidentified coverage from private payers, Medicare, and Medicaid, and a Proprietary Scoring Engine for real-time patient risk assessment and propensity-to-pay analysis. It also features a Patient Balance Financing Marketplace and tools for Financial Assistance/Charity Screening.
CoverMe helps hospitals and clinics navigate the complexities of rising uncompensated care, self-pay populations, and high-deductible health plans (HDHPs). The solution is cloud-based, requires no hardware installation (SaaS), and provides tools to help clients meet IRS 501r and ACA audit compliance standards. It is designed to support a wide range of healthcare organizations, from independent practices to large hospital systems.