Avoid repayment demands tied to retro terminations.
Resolve delinquency before claims age out.
Support continuity of care by stabilizing coverage.
Reduce preventable bad debt tied to coverage lapses.
DPM prioritizes accounts most likely to drive significant reimbursement loss if coverage lapses.
Daily monitoring + eligibility verification to identify Marketplace accounts in the grace period.
Contact the patient with a structured script to confirm status and obtain approval to proceed.
When applicable, facilitate catch-up premium payment and track progress to completion.
Re-verify active coverage, then proceed with clean claim submission/resubmission and follow-through.
Clear statuses and reporting so your team always knows where each account stands.
HIPAA-aware outreach, documented consent, and payor-aligned billing timelines.
Daily workflows designed to support large health systems and complex payor mixes.
We work within your systems to uncover/verify coverage, resubmit clean claims, and follow through until maximum reimbursement.
Patient-friendly outreach that adheres to ACA & 501(r), establishes compliant payment plans, and improves cash flow.
Store and work prior A/R, separate payer dollars from adjustments/patient responsibility, and resolve aged balances.
DPM focuses on ACA Marketplace premium delinquency and grace period exposure, where recoupment and pend risk are most common.
No—DPM complements existing workflows by adding targeted monitoring, patient outreach, and resolution steps specific to delinquent premiums.
Programs typically prioritize Marketplace primary payor accounts with high exposure—such as inpatient and oncology cases—based on your policy and payor mix.
We align on target criteria, reporting cadence, workflows, and integration points—then launch daily monitoring and outreach.