What is LTC Apps – Eligibility Verification?
LTC Apps' Insurance Eligibility Verification Software automates real-time insurance checks for long-term care providers, ensuring accurate verification of Medicare, Medicaid, and private insurance coverage. By reducing manual errors and administrative burden
Problem
Long-term care providers manually verify insurance eligibility (Medicare, Medicaid, private) via phone/fax/portal, leading to time-consuming processes, administrative burdens, and manual errors that delay patient admissions and payments.
Solution
A software tool that automates real-time insurance checks, enabling users to verify coverage in seconds via integration with payer systems. Examples: check Medicare Part A days remaining or Medicaid eligibility status electronically.
Customers
Administrators and billing staff at skilled nursing facilities (SNFs), long-term care providers, and healthcare clinics handling high volumes of insurance verifications daily.
Unique Features
Real-time multi-payer (Medicare/Medicaid/private) eligibility checks, automated workflows to replace manual processes, and integration with major EHR/payer systems.
User Comments
Reduces verification time from hours to minutes
Minimizes claim denials due to errors
Simplifies Medicaid spend-down calculations
Improves patient admission efficiency
Centralizes insurance data for audit trails
Traction
Launched in 2022, specific metrics undisclosed. Parent company linked on Product Hunt has 200+ upvotes. Focused on US SNF market (15,700+ facilities) needing CMS compliance tools.
Market Size
The US healthcare eligibility verification market exceeded $3.2 billion in 2023 (Grand View Research), driven by 5.8M annual Medicare-funded SNF stays requiring coverage checks.
