What We Recover, and How

Helping health systems recover more from a changing reimbursement landscape.

As patient financial responsibility continues to grow, hospitals need specialized resources to recover revenue while preserving the patient experience. Care Cap Plus serves as a concierge extension of your revenue cycle team, focusing on patient responsibility, COB, newborn enrollment, and other reimbursement opportunities that often require more time, expertise, and patient engagement than traditional workflows can support.

Revenue recovery without additional headcount

We focus on the balances and reimbursement opportunities that are often the most difficult and resource-intensive to resolve, allowing your team to stay focused on core revenue cycle operations.

Simple. Measurable. Proven.

  • Launch with a facility, service line, or targeted inventory.
  • Measure performance against your existing recovery baseline.
  • Track incremental cash above current performance.
  • Expand where results and organizational needs align.

The Services We Provide

Specialized solutions for patient responsibility
and reimbursement recovery.

Care Cap Plus serves as a concierge extension of your revenue cycle team, focusing on the patient responsibility and reimbursement challenges that often require more time, expertise, and patient engagement than traditional workflows can support. From aging patient balances to complex insurance issues, we help recover revenue while preserving patient dignity and trust.

Patient Responsibility Resolution

  • Aging patient balances
  • Payment plan management
  • Financial assistance engagement
  • Balance resolution and patient advocacy

We help patients navigate balances, payment options, and financial assistance while creating better outcomes for both patients and providers.

Insurance Discovery & Coverage Identification

  • Insurance discovery
  • NCOA address verification
  • Coverage verification
  • Claim reprocessing support

Through advanced outreach, skip tracing, and insurance identification, we uncover reimbursement opportunities hospitals may not know exist.

COB & Newborn Enrollment Resolution

  • Coordination of Benefits (COB) resolution
  • Primary/secondary coverage verification
  • Newborn enrollment follow-up
  • Dependent coverage resolution

Our specialists work directly with patients and payers to resolve complex coverage issues, accelerate reimbursement, and prevent revenue from slipping through the cracks.

Concierge Patient Advocacy

  • U.S.-based customer service
  • No bots or automated call centers
  • One account, one owner
  • Golden Rule patient engagement

Operating as an independent third-party resource before debt collections, we create a safe space for patients to find answers, explore options, and resolve balances while preserving dignity and protecting hospital relationships.

Patient Advocacy Model

A four-step model built on trust.

Technology does the heavy lifting. People build the relationships. Guided by the Golden Rule, Care Cap Plus combines advanced automation, analytics, and workflow technology with U.S.-based patient advocates who serve as a dedicated point of contact. No bots. No phone trees. Just compassionate, concierge-level support designed to help patients find a path to resolution.

01

Understand

We listen first. Every patient receives personalized account review, education, and guidance from a dedicated advocate.

02

Identify

Using technology and expert review, we uncover insurance, COB, newborn enrollment, and financial assistance opportunities.

03

Resolve

Through compassionate outreach, flexible options, and dedicated ownership, we help patients move from confusion to resolution.

04

Recover

Patients engage. Balances get resolved. Revenue is recovered while preserving trust and strengthening the provider relationship.

How We Engage

Disciplined recovery, with a human touch.

Every health system is different, which is why our services are tailored to each partner's needs. Most often, Care Cap Plus serves as a compassionate third-party resource between traditional billing and hard debt collections, creating a safe space for patients to resolve balances while preserving dignity, trust, and the provider relationship.

Multi-Channel Outreach

Patients are engaged through statements, email, text, and phone calls using the communication methods they prefer and respond to best.

20+ Meaningful Touchpoints

Consistent outreach creates opportunities to resolve balances, uncover insurance coverage, identify financial assistance, and build trust over time.

Concierge-Level Account Ownership

One account. One owner. Every patient works with a dedicated U.S.-based advocate who serves as a single point of contact throughout the resolution process.

Technology-Powered. Human-Led.

Advanced automation and analytics drive consistency behind the scenes, while real people deliver the empathy, accountability, and support that lead to better outcomes.

Service Promises

Real people. Respectful recovery. Every time.

Golden Rule standards

We treat every patient with the respect and empathy we expect for ourselves.

U.S.-based customer service

All support is provided by U.S.-based representatives who understand the healthcare landscape.

No bots, only human connection

Patients and partners speak with real people, not automated systems.

Rapid response guarantee

Every inquiry is acknowledged within one business day.

Single point of contact

Each patient is assigned a dedicated representative for consistent, personalized support.

Service Outcomes

What recovery looks like, measured.

  1. Higher net recovery on aged balances.

  2. Lower write-off leakage.

  3. Reduced cost-to-collect.

  4. Faster cash realization from dormant inventory.

  5. A scalable model for inventory left behind by traditional RCM.

Focused recovery. Measurable lift. Better financial outcomes.