ClaimAid

ClaimAid is a healthcare consulting firm founded in 1989 that specializes in Medicaid eligibility determination, claims resolution, and revenue cycle management for hospitals, healthcare facilities, schools, and employers. The company operates primarily as a patient advocacy and financial services partner, placing on-site staff at client facilities to help patients navigate insurance coverage and payment options.

The company's core services include eligibility services for determining Medicaid coverage, self-pay solutions for uninsured patients, claims resolution, school-based Medicaid billing for educational institutions, and BeWise coverage programs for part-time employees. ClaimAid employs patient resource advocates, solution specialists, and a staff attorney specializing in Social Security disability appeals to provide comprehensive support throughout the healthcare payment lifecycle.

With over three decades of experience in Medicaid policy and healthcare reimbursement, ClaimAid positions itself as a people-first organization focused on reducing hospital bad debt while connecting patients to available benefits. The company maintains multiple service delivery models including on-site advocates, remote support, and technology-enabled payment processing.

Healthcare organizations should consider ClaimAid when they need to reduce bad debt from uninsured patients while maintaining compassionate patient relationships. The company's on-site advocate model works well for facilities that lack dedicated staff for Medicaid navigation and want experts embedded in their workflow rather than outsourced to a remote call center.

Expect a consultative engagement focused on Medicaid system navigation, patient financial counseling, and revenue cycle improvement. The company's strength lies in deep knowledge of state and federal Medicaid regulations combined with hands-on patient advocacy rather than technology-driven automation.

ClaimAid operates exclusively in the healthcare sector, with services designed specifically for hospitals, healthcare facilities, schools providing healthcare services, and employers offering healthcare coverage. The company maintains deep expertise in Medicaid policy across multiple states, HIPAA compliance, and healthcare-specific payment challenges including uncompensated care and government reimbursement programs.

Their patient resource advocates receive specialized training in healthcare coverage programs, insurance regulations, and medical billing processes. The company's Social Security disability advocacy practice demonstrates additional healthcare-specific capabilities in chronic illness documentation and disability determination processes.

The ideal client is a rural or community hospital with 50-300 beds experiencing high uninsured patient rates and bad debt challenges, school districts providing special education services eligible for Medicaid reimbursement, or healthcare facilities that lack in-house expertise in Medicaid enrollment and patient financial assistance programs. Organizations that value personalized patient service over automated solutions and need state-specific Medicaid expertise will benefit most from ClaimAid's approach.