CASE STUDY

Avaneer Coverage Direct lowers administrative costs and delivers COB leads

Payers and providers can save millions and improve the member experience by closing gaps left by EDI, clearinghouses, and portals.

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Capturing accurate insurance coverage information before care is provided is critical to ensuring both a healthy revenue cycle and positive member experiences. However, most revenue cycle processes rely on inefficient processes and in turn have outdated or incorrect insurance.

In this case study, we explore how a large payer and a health system worked with Avaneer Health to develop a solution that reimagined the workflows to identify accurate coverage information.

In this case study we'll cover:

The impact of inaccurate coverage data, including denied claims, write-offs, delayed reimbursement, and lost revenue.
How challenges in obtaining accurate coverage information affect the member experience.
How a peer-to-peer digital network gives payers and providers near real-time access to insurance coverage information.
How coverage data is securely exchanged between participants, ensuring compliance with permissions and eliminating exposure to intermediaries.
How Coverage Direct ^TM increases transparency, improves data accuracy, reduces processing costs, and minimizes administrative delays-all while improving the member experience.

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