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Enterprise Layer Intelligence
Categories/Healthcare & Life Sciences/CoreCare
CoreCare

CoreCare

Founded 2019

Track healthcare eligibility and prevent billing errors

Pricing model

Demo

You can use CoreCare to detect billing, census, and insurance eligibility discrepancies across skilled nursing facilities before submitting claims. The system connects directly with electronic health records, state Medicaid databases, and Medicare portals to centralize patient accounts. It automatically monitors resident coverage changes, flags mismatched payer details, and tracks Medicaid pending applications from submission to approval. By highlighting form errors and coverage lapses early, your finance team avoids denied claims, reduces accounts receivable days, and ensures timely reimbursements without manually checking multiple state portals.

What CoreCare does

Validate resident census data against state recordsTrack pending Medicaid applications and approval statusesAlert staff to lapsed or expiring insurance coverageAudit submitted state forms for billing complianceIdentify demographic discrepancies between EHR and payer recordsFlag payer mismatches before claims submissionContinuous cross-referencing between EHR census data and state payer recordsReal-time alerts for expiring or lapsed Medicaid and Medicare coverageCentralized tracking for pending Medicaid applications and renewalsAutomated detection of patient liability and demographic discrepanciesState-specific form compliance checks to prevent recoupmentsPayer mismatch identification prior to initial claim submission

Pricing breakdown

Pricing model: Book a demo

Frequently asked

EHR systems, State Medicaid, Medicare

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CoreCare, healthcare billing, skilled nursing facilities, revenue integrity, Medicaid pending, census integrity, eligibility monitoring, claims denials, EHR integration, Medicare billing, patient liability, long term care, accounts receivable