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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.

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.

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

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

Audience

Infusion centers, specialty medical practices, and patient access and billing teams

Audience

Healthcare providers in need of a solution to find more billable coverage to increase revenue and patient satisfaction

Support

Phone Support Not Supported
24/7 Live Support Not Supported
Online Supported

Support

Phone Support Supported
24/7 Live Support Not Supported
Online Supported

API

Offers API Not Supported

API

Offers API Not Supported

Screenshots and Videos

No images available

Screenshots and Videos

Pricing

$189/month (first seat), $89/m
Free Version Not Supported
Free Trial Supported

Pricing

No information available.
Free Version Not Supported
Free Trial Not Supported

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Reviews/Ratings

Overall 0.0 / 5
ease 0.0 / 5
features 0.0 / 5
design 0.0 / 5
support 0.0 / 5

This software hasn't been reviewed yet. Be the first to provide a review:

Review this Software

Training

Documentation Supported
Webinars Not Supported
Live Online Not Supported
In Person Not Supported

Training

Documentation Supported
Webinars Supported
Live Online Supported
In Person Supported

Company Information

CareCost
Founded: 2026
United States
carecostestimate.com

Company Information

Inovalon
Founded: 1998
United States
www.inovalon.com/products/provider-cloud/patient-access/insurance-coverage-discovery/

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Categories

Medical Billing Supported

Categories

Integrations

Inovalon Provider Cloud Not Supported

Integrations

Inovalon Provider Cloud Supported
Claim CareCost Estimate and update features and information
Claim CareCost Estimate and update features and information
Claim Inovalon Insurance Discovery and update features and information
Claim Inovalon Insurance Discovery and update features and information