Know what is covered before you bill, not after.
Know what is covered before you bill, not after. Ellie re-checks every unbilled visit with the insurer on her own schedule, confirming the plan is in force and the benefits cover what was done. Coverage stops being the thing a clean claim waits on.
Five stages, in the order they run
Coverage on a schedule, not in a queue
Nobody opens a patient to start a check, and nobody works a list of insurer websites. Ellie runs on her own clock and only involves a person when one is genuinely required.
Elliecoverage and benefit checks- 01
Check every unbilled visit, unprompted
Ellie works through every unbilled visit from the last 45 days and runs a real check with each insurer. She does not wait for a biller to open the patient, and she does not wait for the claim to be built.
- 02
Confirm the plan, and the benefits with it
Each check settles two things: the plan is in force on the date of service, and the benefits cover what was done. A visit that comes back confirmed goes straight on to be coded and sent.
- 03
Hand over what she cannot confirm
When an insurer's answer does not confirm the coverage, Ellie does not guess at it. The visit comes to your team with the insurer's answer already attached, and no claim bills on it in the meantime.
One rule she cannot bend
Coverage is either confirmed or the claim does not bill. Ellie holds to that on every unbilled visit, which is what makes the 45-day window worth something.
- Accurate before deciding
Ellie works at the accuracy of an experienced biller, measured head to head on the same claims, and never guesses to get there. Anything Ellie cannot stand behind goes to your team with the finding already attached.
- Your billers keep the judgment
What comes to your team arrives with the finding attached, so your biller decides instead of investigating. Most of the day never needs a second look, and what does is the work that needed a person.
- Everything on the record
Every decision an agent makes is written down, so you can see what happened and why. Nothing an agent does is a black box you have to take on trust.
- No claim goes out on coverage that has not verified in the last 45 days
- Every unbilled visit is re-checked on her own schedule, not when someone opens the patient
- The plan confirmed in force, and the benefits confirmed to cover the visit
- What she cannot confirm is handed over, never billed on
Coverage is never what holds a clean claim
A coverage problem found while the visit is still unbilled costs a correction and nothing more. Found after the claim has gone, it costs a resubmission and the wait that comes with it. Ellie finds it first, on every visit, before anything bills.
- of visits with coverage confirmed before billing
- 99%
- of claims accepted the first time
- 98.6%
Every stage hands finished work to the next.
Each stage is run end to end by its own agent, and each hands finished work to the next.
AbbyCensus and Medicare Part A or B
CodyCoding and charge capture
SarahClaim checks and submission
PosiePayment postingWe get the claim right before it bills, and post the payment when it arrives. Denials, appeals, payer phone calls and outstanding balances stay with your team.
What buyers ask about Ellie.
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Continuously, on every unbilled visit from the last 45 days, on Ellie's own schedule rather than when someone opens a patient. The hard rule behind it: no claim bills on coverage that has not verified inside 45 days.
The visit comes to your team with exactly what the insurer said. Ellie will not bill against coverage she could not confirm, so your biller reads the answer and makes the call.
Both. A check confirms the plan is in force on the date of service and that the benefits cover what was done, so a claim never goes out on a plan that is active but does not cover the visit.
Every check is written down: which insurer she asked, what it said, and whether the visit went on or came to you. Nothing she does is a black box you have to take on trust, and you watch all of it on a live dashboard.
No. What goes away is the part nobody wanted: opening patients one at a time to re-check coverage that was already fine. Your team still works the coverage that genuinely needs a person, and it reaches them with the insurer's answer already attached.
See coverage stay current.
Thirty minutes with the team who built it. Watch Ellie re-check a book of unbilled visits, confirm what is covered, and hand over the one that needs a person.