CoreCare
CoreCare provides an AI-powered platform for Proactive Revenue Integrity that helps skilled nursing facilities reduce claim denials and payment delays. The platform unifies eligibility verification, census integrity, and state form management, continuously validating resident data against state and payer systems before claims are submitted. Trusted by over 1,500 facilities, CoreCare has helped optimize more than $6 billion in annual revenue.
- Healthcare Technology
- Artificial Intelligence
- Software Only
- Enterprise Software
Funding
Raised to date
$3MRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Founder details are not available yet.
Product
Problem
Skilled nursing facilities face significant revenue loss from claim denials and payment delays caused by fragmented, manual workflows in census tracking, eligibility verification, and state form management. Staff often discover payer mismatches or coverage issues only after claims are submitted, leading to costly write-offs and delayed reimbursements.
Solution
CoreCare provides an AI-powered platform for Proactive Revenue Integrity that unifies eligibility verification, census integrity, and state form management into a single system. The platform continuously validates resident census data in the EHR against state and payer systems, surfacing mismatches, coverage changes, and demographic discrepancies before claims are submitted. It provides staff with guidance and automation to resolve issues early, reducing denials and payment delays. The platform is SOC2 and HIPAA compliant, ensuring secure handling of sensitive healthcare data.
Target Audience
Primary customers are skilled nursing facility operators, including multi-facility organizations and state-specific providers in Ohio and Texas, who need to reduce claim denials and improve billing accuracy.
Features
- Continuous validation of resident census data against state and payer systems to identify mismatches and coverage issues before claim submission
- Eligibility alerts, program change notifications, patient liability tracking, and demographic discrepancy detection in a single dashboard
- AI-powered guidance and automation that enables staff to resolve revenue risks without specialized expertise
- State-specific solutions for Ohio and Texas, including PDPM LTC playbook support for Texas Medicaid
- SOC2 and HIPAA compliant platform architecture for secure data handling
- Platform currently used by over 1,500 facilities, with more than $6 billion in revenue optimized annually