JSON twin: https://www.healthaidb.com/software/einsights.json
eInsights
https://eligibilityinsights.com/hospital-insurance-discovery-software/
https://eligibilityinsights.com
eInsights is a hospital-focused insurance discovery SaaS that scans patient accounts and payer databases to identify missed commercial, Medicare, and Medicaid coverage and recover revenue.
eInsights automates insurance discovery and verification for hospitals and health systems using proprietary matching algorithms, EDI 270/271 transactions, and access to 950+ payer databases. The cloud-based SaaS continuously reevaluates all patient accounts (not just self-pay), integrates with major EHRs (Epic, Cerner, Meditech, Athena, Allscripts, etc.), and is HITRUST- and HIPAA-compliant to drive revenue recovery, reduce denials, and improve cost-report reimbursements.
unknown
P0512
2025-09-07
proprietary commercial
Contact vendor for pricing; demos and case studies available; implementation claims: Epic integration in ~30 days.
enterprise_quote
2021
product
1.0
{
"company_name": "eInsights",
"company_url": "https://eligibilityinsights.com",
"company_offices": [
"United States"
],
"company_founding": "",
"product_url": "https://eligibilityinsights.com/hospital-insurance-discovery-software/",
"categories": [
"insurance discovery",
"eligibility checking",
"revenue cycle management",
"clinical-adjacent"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://eligibilityinsights.com/",
"https://eligibilityinsights.com/hospital-insurance-discovery-software/",
"https://eligibilityinsights.com/contact-einsights/",
"https://elion.health/products/einsights",
"https://klasresearch.com/compare/insurance-discovery/298",
"https://www.linkedin.com/company/eligibilityinsights/"
],
"summary": "eInsights is a hospital-focused insurance discovery SaaS that scans patient accounts and payer databases to identify missed commercial, Medicare, and Medicaid coverage and recover revenue.",
"description": "eInsights automates insurance discovery and verification for hospitals and health systems using proprietary matching algorithms, EDI 270/271 transactions, and access to 950+ payer databases. The cloud-based SaaS continuously reevaluates all patient accounts (not just self-pay), integrates with major EHRs (Epic, Cerner, Meditech, Athena, Allscripts, etc.), and is HITRUST- and HIPAA-compliant to drive revenue recovery, reduce denials, and improve cost-report reimbursements.",
"target_users": [
"hospital revenue cycle teams",
"billing/coding staff",
"finance/CFO office",
"collections teams",
"health system administrators"
],
"specialties": [
"hospital revenue cycle",
"revenue recovery",
"insurance discovery",
"health system finance"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing; demos and case studies available; implementation claims: Epic integration in ~30 days.",
"license": "proprietary commercial",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web"
],
"features": [
"Proactive insurance discovery across all patient accounts",
"Continuous monitoring for retroactive eligibility and payer changes",
"Retroactive Medicaid eligibility detection",
"Secondary/tertiary payer identification",
"Correct primary/secondary payer relationship detection to prevent COB denials",
"Automated scanning before or concurrent with service date",
"Direct delivery of findings into patient accounting systems",
"Interactive web portal with dashboards and reports",
"Transparent recovery reporting and ROI metrics",
"Contingency-based pricing (pay only on recovered revenue)",
"30–45 day typical implementation",
"No-additional-staff automated operation (vendor-supported)",
"Risk-free no-cost proof-of-concept with BAA",
"Reduced denials and downstream rework",
"Faster/earlier claim submissions"
],
"optional_modules": [],
"integrations": [
"Epic",
"Patient accounting systems / PAS (direct integrations/feeds)"
],
"data_standards": [],
"api_available": "unknown",
"system_requirements": "",
"compliance": [
"HITRUST CSF",
"HIPAA"
],
"certifications": [
"HITRUST CSF"
],
"security_features": [
"Encryption (in transit and at rest)",
"Audit logging",
"Role-based access control (RBAC)",
"SSO/SAML (enterprise SSO implied)",
"Two-factor authentication (2FA) implied"
],
"privacy_features": [
"BAA available"
],
"data_residency": "",
"customers": [
"Academic medical centers",
"Critical access hospitals",
"Multi-state health systems",
"562-bed Texas urban hospital (unnamed case study)",
"350-bed health system (unnamed case study)",
"460-bed facility (unnamed case study)"
],
"user_reviews": [],
"ratings": [
"KLAS Research: 95.8 rating in Insurance Discovery category (KLAS) — 100% of surveyed clients said they'd buy again",
"Company-reported: Proven 10:1 average ROI (company case data)"
],
"support_channels": [
"interactive portal",
"consultation / onboarding team"
],
"training_options": [
"implementation support by vendor team",
"documentation"
],
"release_year": "2021",
"integration_partners": [
"Epic"
],
"id": "P0512",
"slug": "einsights",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/einsights.json"
}
}