Five conversion elements
Presumptive eligibility screening, document orchestration, application drafting, submission, and status monitoring — all present, or the pack does not release.
The most rigorous coverage conversion pack a hospital can deploy.
Hospital Coverage Conversion Engine assembles a documentation-complete coverage conversion pack — every statutory element, every required eligibility screening, the application matrix, the certified-mail packet, and the redetermination calendar — checked against the letter of 42 CFR 435 and applicable state rules before a specialist releases it.
Every applicable subsection of 42 CFR 435Five statutory conversion elements, gate-checkedMedicaid · ACA · SSI/disability · third-party liability · 501(r) charity-care screeningsSpecialist release on every pack5-business-day SLA
Why conversions fail
A single missing element can leave an account as bad debt.
A hospital's coverage conversion is only as strong as the documentation behind it. Miss one of the five statutory conversion elements, skip a required eligibility screening, mis-time the retroactive window, or fail to notify a liable third party — and the account remains uninsured, unreimbursed, or exposed to compliance risk.
Most hospitals run this by hand, from memory, across dozens of state and federal programs. The regulations have not been read end-to-end since the last time it mattered. That is exactly where completeness gaps hide.
Hospital Coverage Conversion Engine exists to close that gap with a single, exhaustive standard applied identically to every file.
1 of 5
missing conversion elements is enough to jeopardize reimbursement
The benchmark
Measured against the letter of the regulations — subsection by subsection.
We do not summarize the law and hope. Every pack is scored against a versioned rule pack tied to the exact text of 42 CFR 435 and applicable state rules. These are the provisions each pack is held to.
Retroactive coverage window
The application date is verified to fall within the retroactive coverage period (up to 3 months prior to application for Medicaid), computed deterministically — never estimated.
Every required recipient
Patient plus all liable third parties, including other insurers, COBRA administrators, and liable entities — established by search, not assumption.
Out-of-state eligibility duty
For patients residing outside the hospital's state, a reasonable eligibility screening in the jurisdiction of residence is ordered and evidenced.
Conspicuous patient notification
A notification checklist for both the hospital and the patient, with the exact regulatory placement requirements.
Appeals, redetermination, and closure
The 30-day appeal rule, redetermination scheduling, and the account closure path — sequenced on the calendar so nothing is missed.
How a pack is built
Intake to specialist release, with deterministic gates the AI cannot overrule.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A human specialist signs every release. That order is never reversed.
01
Delinquency Gap Scan
Upload the patient ledger and account details. We return a free completeness read: which statutory elements and screenings you already have, and which are missing.
02
Evidence & eligibility screenings
As your authorized clerical agent, we order the Medicaid, ACA, SSI/disability, third-party liability, and 501(r) charity-care screenings and build the eligibility matrix, corroborated across sources.
03
Grounded drafting
The five conversion elements are drafted from your validated data and the 42 CFR 435 rule pack into field-locked templates — no legal opinions, no invented facts.
04
Deterministic completeness gates
Amounts reconcile to the ledger to the penny; the retroactive window is verified; the screening checklist is resolved; SCRA is screened. Any failure blocks release.
05
Specialist release
A conversion specialist reviews the exception queue and signs the release. High-value or complex accounts route to attorney review first.
06
Delivery
You receive the pack: applications, matrix, evidence log, notification checklist, certified-mail packet with labels, and the redetermination ICS calendar — ready for the hospital to submit under its own name.
The bar we hold
Rigor you can measure.
100%
Specialist-released
No pack ships without a human signature.
5 days
Standard SLA
From complete intake to released pack.
<1%
Critical-defect target
Tracked against a gold-standard pack library.
5
Eligibility-screening sources
Medicaid · ACA · SSI/disability · third-party liability · 501(r), every applicable file.
Why Hospital Coverage Conversion Engine
Built to be the most thorough option a hospital has.
Documentation-complete, by design
The deliverable is completeness itself — every statutory element and screening accounted for or explicitly exception-coded. Nothing is left implicit.
Deterministic, not vibes
The gates that decide completeness are code, not a model's opinion. A drafting error cannot slip past a regulatory requirement.
In its lane, on purpose
We prepare documentation and run screenings as your clerical agent. We never contact the patient directly, give legal advice, or conduct the conversion.
Engagement
Flat fee, per released pack. No contingency, ever.
Simple, predictable, and aligned with a documentation standard — not a cut of any recovery.
- A free Delinquency Gap Scan before you commit — see exactly what is missing.
- One flat fee per released Coverage Conversion Pack; disclosed pass-through screening fees.
- Optional fixed-fee attorney review for high-value or complex accounts.
- Optional Conversion Continuity Add-on for the appeals and redetermination exhibits, pre-dated to your retroactive window.
FAQ
Questions, answered precisely.
Is Hospital Coverage Conversion Engine a law firm?
No. Hospital Coverage Conversion Engine, a service of Your Deputy, Obuke LLC, provides documentation-completeness services. It is not a law firm, does not provide legal advice, and does not represent you in any legal matter. Attorney review is available and recommended for high-value or complex accounts.
Do you contact the patient or collect the debt?
Never. Hospital Coverage Conversion Engine is not a debt collector and does not contact patients or debtors. The hospital remains the coverage claimant and the party responsible for submitting all applications and conducting any appeals.
What makes a pack 'complete'?
Completeness is defined by the regulations: the five 42 CFR 435 conversion elements present, the retroactive window verified, the eligibility screenings resolved or exception-coded, identity corroborated, and SCRA screened. Deterministic gates enforce each one before release.
How fast is it?
The standard SLA is five business days from complete intake to a specialist-released pack. The free Gap Scan is returned much sooner and tells you exactly what is still needed.
How are you priced?
A flat fee per released pack, plus disclosed pass-through screening costs. No contingency and no percentage of any recovered amount or reimbursement.
See what's missing before it costs you reimbursement.
Start with a free Delinquency Gap Scan. Send your patient ledger and account details and we'll return a completeness read against every applicable subsection of 42 CFR 435.
Documentation-completeness service · not legal advice · the hospital submits every application.