Solum's insurance discovery software finds active coverage your patients never handed you, then monitors the coverage you already have for every change, so more visits get billed and fewer become denied claims.
Trusted by High-Volume Specialty Practices
Find Hidden Coverage. Catch Every Change.
When a patient comes in as self-pay or gives you only partial details, Annie searches payer sources for active coverage they didn't disclose, turning would-be write-offs into billable, paid visits.
Annie surfaces hidden secondary and tertiary payers so claims go to the right plan in the right order, with no more missed coordination of benefits or coverage left on the table.
Annie watches for plan changes, coverage lapses, and benefit updates across your entire patient base in real time. Instead of checking coverage one patient at a time, your team gets a live view of every active policy and any shifts the moment they happen.
When a TPA switches MCOs or a payor restructures, the ripple effects can hit dozens or hundreds of your patients at once. Annie identifies every affected patient and alerts your team immediately so you can update records and adjust workflows before claims start bouncing.
Automatic notifications when a patient's insurance status changes. Whether coverage goes from active to inactive, pending, or terminated, Annie flags it immediately so nothing slips through the cracks and your team can act before it affects scheduled visits.
Track updates from payors including formulary changes, authorization requirement changes, and network status modifications. Annie consolidates these updates into actionable summaries so your team knows exactly what changed and which patients are affected.
When a patient enters your system, Annie adds them to continuous insurance monitoring automatically.
Annie checks coverage status, payor updates, and TPA/MCO changes on an ongoing basis across your entire patient base.
When a plan changes, coverage lapses, or a payor restructures, Annie identifies every affected patient and logs the details.
Your team receives clear, actionable alerts with exactly what changed and which patients need attention, before any claims are affected.
In just 15 minutes, see how Annie finds hidden coverage and catches every change.
Measurable Outcomes. Proven Results.
Annie catches coverage changes before they turn into denied claims.
Your whole patient base watched in the background, not once at intake.
Recover self-pay write-offs and stop denials from coverage drift.
Full EHR integration and workflow configuration.
Annie discovers unknown coverage and monitors changes across the payers your practice bills most, plus Medicare, Medicaid, and thousands of regional and commercial plans.
Commercial Plans
Aetna, UnitedHealthcare, Cigna, Humana, Kaiser Permanente, Blue Cross Blue Shield, Molina Healthcare, and UMR.
Government Programs
Medicare, Medicaid, and Tricare.
2,000+ commercial, managed-care, and regional payers nationwide
Built for healthcare from day one. Security, compliance, and trust are in our DNA.
Insurance discovery finds active coverage a patient never gave you: an unknown primary plan for someone who came in as self-pay, or a hidden secondary or tertiary payer. Annie scans your patient base against payer sources, surfaces the billable coverage you didn't know existed, and turns would-be write-offs into paid claims.
Annie takes what you already have (name, date of birth, and any partial details) and checks it against payer and clearinghouse sources to find matching active coverage. She flags every plan she finds, including secondary and tertiary policies, so your team can bill the right payer instead of writing the visit off as self-pay.
Verification confirms coverage a patient hands you; discovery finds coverage they didn't. If a patient presents as self-pay or gives you only one card, verification has nothing to check; discovery is what surfaces the plan that's actually there. Annie does both: she verifies what you have and discovers what you're missing.
Insurance monitoring continuously re-checks your existing patients' coverage so you catch changes like a switched plan, a lapsed policy, or a new TPA or MCO before they turn into denied claims. Annie watches your whole patient base in the background and flags anything that changes, instead of your team finding out when a claim bounces.
Annie re-verifies your active patients on a schedule and compares each result to what she has on file. When coverage changes, whether a plan termination, a payer switch, or a reset deductible, she alerts your team right away and re-runs eligibility so the patient's record stays current.
TPA and MCO switches, plan terminations, coverage lapses, secondary-payer failures, and eligibility or benefit changes like a new deductible period. These are the quiet changes that never announce themselves and usually surface only when a claim is denied.
A one-time verification is a snapshot at intake; insurance monitoring is continuous. Coverage changes constantly between visits, especially for patients seen every week, so Annie keeps checking after the first verification, not just before the first visit.
Yes. Annie syncs coverage updates and alerts straight into your EHR or practice management system, so your team sees changes where they already work. Our implementation team handles the integration so your staff doesn't have to.
Most denials from coverage changes are invisible until the claim comes back. By catching a lapse or plan switch the moment it happens and re-verifying, Annie lets your team fix the coverage issue before care is billed, turning a would-be denial into a clean claim.
Still have questions?
Talk to Our TeamDefinitions for the coverage concepts behind billable visits and clean claims.
How multiple payers are ordered so each claim goes to the right plan first.
The difference between a patient's primary plan and additional payers behind it.
What it means for a patient's plan to be active and cover a given service.
Confirming coverage a patient has provided before delivering care.
Instant, standardized eligibility checks that return coverage details in seconds.
The workflow for confirming a payer will actually cover a patient's care.
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