CareCost EstimateCareCost
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Inovalon Insurance DiscoveryInovalon
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Related Products
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About
CareCost Estimate helps infusion centers and specialty medical practices answer the question every patient asks: what will this cost me?
Staff pick the drug, dose, and insurance. CareCost returns the patient's out-of-pocket cost in about 90 seconds — including Medicare Part B coinsurance, secondary insurance and Medigap, weight-based dosing, and vial waste (JW/JZ). It then applies the manufacturer copay programs and foundation grants the patient may qualify for, so the number the patient hears is the real one.
The same lookup shows what the payer requires first: prior authorization, step therapy, and site-of-care rules, quoted from the payer's own policy with a link.
Drug prices come from CMS Average Sales Price files, updated every quarter. Estimates run in the browser, so patient data never reaches our servers.
CareCost also publishes free billing and coding references for infusion CPT codes, J-codes, and modifiers, and the quarterly Infusion Reimbursement Index.
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About
Insurance Discovery reduces uncompensated care and underpayments by identifying active billable coverage previously unknown to the provider. Using sophisticated search capabilities, this solution identifies if patients have multiple active payers to help boost reimbursement opportunities. Prevent reimbursement delays and increase the speed of revenue capture by sending claims to the right payers on the first submission, enabled by more accurate coverage information. Run Insurance Discovery with verified patient demographic data to get accurate coverage and eligibility information. Replace manual insurance discovery methods with one quick, comprehensive search that inquires numerous databases in seconds to deliver detailed, accurate coverage information. Improve the patient/resident experience and estimate accurate out-of-pocket costs to improve their financial experience.
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Platforms Supported
Windows
Not Supported
Mac
Not Supported
Linux
Not Supported
Cloud
Supported
On-Premises
Not Supported
iPhone
Not Supported
iPad
Not Supported
Android
Not Supported
Chromebook
Not Supported
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Audience
Infusion centers, specialty medical practices, and patient access and billing teams
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Audience
Healthcare providers in need of a solution to find more billable coverage to increase revenue and patient satisfaction
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Support
Phone Support
Not Supported
24/7 Live Support
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Online
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Support
Phone Support
Supported
24/7 Live Support
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Online
Supported
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API
Offers API
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API
Offers API
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Screenshots and VideosNo images available
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Pricing
$189/month (first seat), $89/m
Free Version
Not Supported
Free Trial
Supported
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Pricing
No information available.
Free Version
Not Supported
Free Trial
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Reviews/
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Reviews/
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Training
Documentation
Supported
Webinars
Not Supported
Live Online
Not Supported
In Person
Not Supported
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Training
Documentation
Supported
Webinars
Supported
Live Online
Supported
In Person
Supported
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Company InformationCareCost
Founded: 2026
United States
carecostestimate.com
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Company InformationInovalon
Founded: 1998
United States
www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/
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Integrations
Inovalon Provider Cloud
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