3 Clear Signs Your Practice Needs Insurance Discovery FC

Running a small- to mid-sized practice means managing a tight revenue cycle and keeping cash flow stable. One tool that can make a big difference is Insurance Discovery FC from Office Ally. It helps uncover hidden or misclassified insurance coverage for patients you might otherwise treat as self-pay. Below are three signs your practice should consider adding Insurance Discovery FC to your workflow.

1. You See a High Volume of Self-Pay Patients

Self-pay designations can sometimes hide billable coverage. By rechecking eligibility or using tools like Insurance Discovery FC, your team can uncover missed insurance and reduce avoidable write-offs.

Why this happens

• Patients may forget to mention insurance changes.
• Front desk staff might not fully capture payer information at registration.
• Eligibility tools do not catch secondary or retroactive coverage.

What the data says

• Industry estimates suggest 20-40% of patients initially recorded as self-pay actually have billable coverage.
• Coverage discovery tools can uncover active insurance so your team can bill the visit to the payer instead of writing it off as self-pay.

What to watch for in your practice

• The number of self-pay accounts increasing month over month.
• More write-offs from unpaid self-pay balances.
• Manual research uncovering insurance coverage after services are rendered

If these patterns sound familiar, your practice could benefit from automating the process with Insurance Discovery FC.

2. Your Claim Rejection Rate is Eating Up Staff Time

A growing number of claim rejections can overwhelm your team, delay cash flow and create a cycle of corrections and resubmissions that drains your practice’s resources.

What it looks like in your practice

• Claims are being returned for missing or invalid insurance information
• Staff spend hours updating payer details and fixing eligibility-related errors
• Payments are delayed because claims aren't reaching payers cleanly the first time
• Even a “small” rejection rate can result in significant manual work for a small front office

Eligibility errors are one of the most common reasons claims get rejected. And the more time your team spends fixing front-end issues, the less time they have for higher-value tasks.

How Insurance Discovery FC helps reduce rejections

Insurance Discovery FC helps prevent these issues before claims are submitted by:

• Surfacing verified coverage information that supports higher clean-claim rates
• Reducing rejections tied to incorrect, outdated, or missing insurance coverage
• Cutting down on the correction-and-resubmission loop that slows down reimbursement
• Helping your team send out cleaner claims, reducing administrative burden and speeding up payment

If you’re seeing more eligibility-related rejections, or your staff is spending a growing amount of time fixing eligibility-related insurance issues, it’s a strong sign that Insurance Discovery FC can help stabilize your revenue cycle.

3. Your Accounts Receivable (AR) Days Are Growing

An increase in AR days usually means your practice is waiting longer to get paid, which may be caused by undetected insurance coverage or reimbursement delays that could be resolved with better front-end verification.

Healthy benchmarks

• Many practices aim to keep days in A/R under 50, with 30-40 days considered strong.
• According to the Medical Group Management Association (MGMA) 2021 Data Dive report, the median percentage of A/R over 120 days for multispecialty practices was 13.54%.

Why this matters

• The longer a claim stays in A/R the less likely is is to be paid in full.
• Chasing old claims diverts staff from more productive tasks.
• Delayed payments make it harder to forecast cash flow and manage operations.

How Insurance Discovery FC can help

• Helps find coverage before claims age out or get written off.
• Ensures claims are sent to the right payer the first time.
• Helps your practice get paid faster and with less manual effort

With Insurance Discovery FC, your team can uncover insurance coverage before claims age out, helping you submit to the correct payer and get reimbursed faster. This reduces the burden of unpaid accounts and improves cashflow without adding extra work to your staff.

A Smarter Way to Close Coverage Gaps

If your practice is seeing more self-pay patients, frequent claim denials, or longer AR cycles, it may be time to take action. Insurance Discovery FC from Office Ally is designed specifically for small- to medium-sized practices that want to strengthen their revenue cycle without adding administrative burden.

By uncovering hidden coverage and reducing preventable rejections, Insurance Discovery FC helps your team get paid for the work you are already doing. It is integrated into both Service Center and Practice Mate and works in tandem with Eligibility & Benefits to create a complete insurance verification workflow that boosts efficiency and enhances the patient experience.

Don’t let missed coverage turn into missed revenue. Reach out to Office Ally today to learn how Insurance Discovery FC can help your practice uncover hidden insurance and improve insurance revenue capture.