Insurance Discovery for ABA Practices

Insurance Discovery helps ABA practices uncover undisclosed or inactive insurance coverage, so billable ABA therapy services do not quietly turn into self-pay or write-offs.

It looks beyond standard eligibility checks to surface accurate payer information before claims go out.

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Current Missing Coverage Scenario

Client intake completed

Insurance collected as provided

Eligibility checked

Only known coverage is validated

Coverage is missing or changed

Secondary or inactive plans remain unseen

Claims submitted

Patient data is incomplete

Denials and self-pay

Balances, age, and revenue are written off

Standard ABA insurance eligibility checks can only confirm what is already on file. They cannot surface coverage that your team was never given.

That gap is where revenue leaks start.

Meet Insurance Discovery

Insurance Discovery is built into Artemis ABA’s revenue cycle management workflows to solve a specific problem. Finding insurance coverage that was never provided, was outdated, or was assumed inactive.

Instead of validating a single policy, it searches national payer databases to identify active, billable coverage tied to your client, including:

Commercial plans

Medicaid

Medicare

Built Into Artemis ABA RCM

Insurance Discovery works inside Artemis ABA’s revenue cycle management workflows

No separate system to manage

No changes to how your billing team works

Coverage insights surface where claims are already handled

This helps teams act on accurate insurance information without adding operational complexity

How Insurance Discovery Works

When a client record lacks complete insurance information, Insurance Discovery runs an intelligent search across payer sources

Active coverage is surfaced for review

Your billing team verifies and updates the client record

Claims are submitted with accurate payer data

Why This Matters for ABA Billing Teams

Capture missed ABA insurance revenue

Reduce claim rejections tied to payer errors

Improve clean claim rates

Lower bad debt and write-offs

Protect revenue already earned through care delivery

Frequently Asked Questions

What is Insurance Discovery in ABA billing?

Insurance Discovery is a feature in Artemis ABA’s revenue cycle management system that identifies active insurance coverage clients may not have disclosed, including commercial, Medicaid, or Medicare plans.

How is Insurance Discovery different from eligibility checks?

Standard eligibility checks validate known insurance policies, while Insurance Discovery searches beyond the policy on file to uncover additional active, billable coverage.

Can Insurance Discovery find Medicaid or Medicare coverage?

Yes. Insurance Discovery can identify active commercial, Medicaid, and Medicare coverage tied to a client.

How does Insurance Discovery help reduce claim denials?

By identifying missing or outdated insurance coverage before claims are submitted, Insurance Discovery helps prevent denials caused by incorrect payer information.

Does Insurance Discovery reduce self-pay balances?

Yes. By uncovering billable coverage that would otherwise be missed, Insurance Discovery helps reduce self-pay balances and unnecessary write-offs.

Is Insurance Discovery built into Artemis ABA?

Yes. Insurance Discovery is built directly into Artemis ABA’s revenue cycle management workflows.

Do billing teams still review insurance information?

Yes. Insurance Discovery surfaces potential coverage, and billing teams review and verify the information before updating client records and submitting claims.

Is Insurance Discovery available for all ABA practices?

Insurance Discovery is available for practices using Artemis ABA’s RCM workflows.