Eligibility checks confirm coverage. RetroCAID recovers revenue.
A patient's Medicaid Benefit Profile is constantly evolving, even after eligibility is established. RetroCAID continuously monitors every uncompensated encounter and instantly alerts your billing team when a change to the patient's state profile creates a reimbursement opportunity, providing the exact billing details needed to recover it.
No integration · Live in under 60 minutes · 100% contingency
Top-performing Safety Net providers know the difference.
A Medicaid Benefit Profile is fluid, it changes at any time, even after eligibility is established.
Periodic patient level checks miss what’s happening at the claim level.
A point-in-time eligibility check tells you where a patient stood on one day. But a Medicaid Benefit Profile is fluid — it can change at any time, long after the encounter date, in ways that quietly turn an uncompensated visit into a reimbursable claim.
Medicaid's fluidity demands so much more than a simple eligibility check. It requires constant monitoring of the Benefit Profile so every dollar owed is captured before it expires.
Eligibility captures a Snapshot. Monitoring captures Change!
Traditional eligibility checks capture coverage at a point in time. RetroCAID captures revenue by recognizing small benefit changes that create reimbursable opportunities.
The difference isn't what you know today.
It's what changes tomorrow.
The One Big Beautiful Bill Act makes eligibility more fluid than ever.
OBBBA introduces stricter work requirements and mandates more frequent eligibility determinations. The likely result is more patients cycling in and out of coverage — exactly the churn that breaks the periodic-check model.
When eligibility moves this fast, a snapshot can't keep up. Continuous monitoring of the Benefit Profile becomes the only reliable way to capture reimbursement before it expires into bad debt — which is precisely what RetroCAID was built to do.
Get Ahead of the Churn →Recovered revenue, with zero downside.
RetroCAID was designed to make saying yes easy. There is no risk to test it, and nothing to lose by finding out what it can recover for your facility.
Who RetroCAID serves
See what RetroCAID can recover for your facility.
It starts with a straightforward conversation about the encounters sitting in your system right now — no obligation, and no commitment to continue.
// No long-winded sales pitches or PowerPoint presentations.
