Three to five percent of emergency and urgent care visits are tied to car accidents, workplace injuries or other events covered by third-party liability (TPL) insurance. But these claims often go undiscovered and underpaid.
Manual discovery processes are too slow and imprecise. As a result, hospitals miss out on higher reimbursements — up to 40% more than traditional payers deliver.
In this session, revenue cycle experts share how forward-looking providers are making TPL discovery a core part of their billing strategy. You'll learn how billing teams and front-end staff can flag complex encounters early and how technology can streamline discovery, whether billing is handled in-house or by a partner.
Key takeaways:
- Why surfacing TPL coverage is a financial imperative for EDs and urgent care providers
- How to identify the 3–5% of encounters eligible for higher-reimbursing TPL claims
- What integration looks like, and how to embed TPL discovery into existing workflows
