StreamVerify · Eligibility Intelligence
PCC Medical Holdings, LLCConfidential
Ocean Location — Weekly Eligibility Report
1980 SE Ocean Blvd · Stuart, FL 34996
Week of
Apr 7 – 13, 2026
Delivered by
Revenue Stream AI·StreamVerify
Ocean — this week
Eligibility checks run
487
↑ 4% vs last week
~460/week baseline
Patients confirmed active
94.7%
↑ 1.4 pts · target ≥92%
461 of 487 verified
Coverage issues caught
26
Flagged before the visit
5.3% of checks
Revenue protected this week
$5,096
26 issues × $196 avg
Caught before a claim was filed
What happened to the 487 checks
Active · inactive · pending · error
94.7%
active
Payer mix — Ocean
90% Medicare · consistent with Stuart FL aging population
90%
Medicare
Active rate by insurance carrier
Dashed line = 90% minimum threshold · carriers below are flagged for manual review
Weekly verification volume — past 6 weeks
Ocean location · checks trending upward as patient volume grows
Carrier detail
CarrierPlansChecks% of vol.Active rateFlagsStatus
All carriers487100%94.7%26On track
What StreamVerify replaced — Ocean
Before StreamVerify
How checks were doneManual / staff
Time per patient10–15 minutes
Staff hours per week95.8 hrs
Labor cost per week$1,917
Estimated active rate~82%
Issues missed per month~83 patients
After StreamVerify
How checks are doneAutomated · real-time
Time per patient1.3 seconds
Staff hours per week6.5 hrs (review only)
Labor cost per week$130
Active rate this week94.7%
Issues caught this week26 patients
Staff hours saved per week
89.3 hrs
93% reduction
Labor savings: $1,787/week · $93,245/year
Active rate improvement
+12.7 pts
82% → 94.7%
More patients confirmed before they arrive
Platform performance — this week
✓ Pass
1.3s
Avg check speed
Target: under 2s
✓ Pass
99.9%
Uptime this week
Target: ≥99.5%
✓ Pass
487
Checks delivered
Target: ≥460/week
⚠ Watch
80%
FL Medicaid active rate
Target: ≥90%
What to act on this week
Medicare performing well — 90% of volume, 97.9% active
Medicare is the dominant payer at Ocean and is extremely stable. The high Medicare concentration is why Ocean's overall active rate is strong despite some smaller carriers having issues.
Humana — watch closely next week
90.7% active rate. Above the 90% minimum but barely. 5 flags this week. If it drops below 90% next week, manually confirm coverage for all Humana patients at scheduling.
FL Medicaid — always confirm at the front desk
80% active rate this week. Florida Medicaid changes frequently and can switch without notice. Regardless of what StreamVerify shows, confirm Medicaid patients again at check-in.
Devoted Health — Medicare Advantage patients
Devoted only offers Medicare Advantage plans in Florida. These patients need their Part A and Part B enrollment confirmed at intake — this is different from traditional Medicare verification.
Month to date — April 2026
Checks run this month
1,134
On pace for 2,000/month
Active rate this month
94.2%
On track
Issues caught & resolved
58 / 63
5 still open
Revenue protected this month
$12,348
63 issues × $196
Scroll down for full network projections
The following section shows what StreamVerify delivers across all 72 PCC locations and 160 providers at full deployment
StreamVerify pricing — how the cost works
$0.50 / check
Introductory rate — 30 days only
PCC's exclusive deal for the pilot period. Standard rate for 2,000 checks/month would be $1.25/check — this intro offer is 60% below list price. Once all 72 locations convert and volume exceeds 10,000/month, the rate drops permanently to $0.25/check.
Standard rate schedule — per inquiry volume
Monthly volumePer-inquiry rateOcean est. monthly costvs. manual ($4.17)
1 – 200 / mo$5.31+27% vs manual
201 – 500 / mo$4.25+2% vs manual
501 – 750 / mo$3.1924% cheaper
751 – 1,000 / mo$2.5040% cheaper
1,001 – 2,000 / mo ← Ocean est.$1.25$2,500 / mo70% cheaper
2,001 – 3,500 / mo$0.7582% cheaper
3,501 – 5,000 / mo$0.5088% cheaper
5,001 – 7,500 / mo$0.4090% cheaper
7,501 – 10,000 / mo$0.3592% cheaper
10,001+ / mo ← full network (144,000)$0.25$500 / loc / mo94% cheaper
Cost scenarios for PCC Medical Holdings
First 30 days · intro deal
$1,000 / mo
$0.50 × 2,000 checks
Net benefit: $27,187 / mo
28× return on cost
Ocean · standard rate
$2,500 / mo
$1.25 × 2,000 checks
Net benefit: $25,687 / mo
11.3× return on cost
Full network · after 30 days
$500 / loc / mo
$0.25 × 2,000 · 144k network total
Net benefit: $27,687 / mo
56× return on cost
Full network — 72 locations · 160 providers
What StreamVerify delivers at full PCC deployment
$149,510
Net return per provider per year
At $0.25/check · after StreamVerify cost
$23.9M
Total annual net return — full network
72 locations · 56× ROI at $0.25/check
43.3 hrs
Admin hours freed per provider per week
Back to patient care
How we got there: Each location runs ~2,000 eligibility checks/month. At $0.25/check (10k+ network rate), StreamVerify costs $500/location/month. Before StreamVerify, 2,000 manual checks at 12.5 min each and $20/hr = 95.8 hrs/week = $1,917/week in labor. After: 6.5 hrs of flag review at $130/week. Weekly labor savings: $1,787 · annual: $93,245. Plus revenue protected from 104 flagged patients × $196 avg encounter = $20,384/month. Total benefit: $28,187/month. Subtract $500 StreamVerify cost. Net per location: $27,687/month · $332,244/year. Across 72 locations: $23,921,568/year net. Divided across 160 providers: $149,510/provider/year.
Total checks / month — full network
144,000
72 locations × 2,000
Revenue protected / year
$17.6M
104 flags × $196 × 72 locs × 12 mo
Labor savings / year
$6.7M
$93,245 per location × 72
Net ROI / year · full network
$23.9M
56× return · $0.25/check
After $432K StreamVerify cost
How value grows as more locations go live
Rollout phaseLocationsProvidersChecks / moRevenue protected / yrLabor saved / yrSV cost / yrNet ROI / yrPer provider / yr
Ocean · Live now122,000$244,608$93,245$6,000$331,853$149,334
Phase 2102220,000$2,446,080$932,450$60,000$3,318,530$149,334
Phase 3255650,000$6,115,200$2,331,125$150,000$8,296,325$149,934
Phase 450111100,000$12,230,400$4,662,250$300,000$16,592,650$149,484
Full network72160144,000$17,611,776$6,713,640$432,000$23,893,416$149,334
72-location full deployment144,000 / mo$17.6M / yr$6.7M / yr$432K / yr$23.9M net / yr · 56×$149,334 / provider
Annual net return as PCC locations go live
Revenue protected + labor savings − StreamVerify cost ($0.25/check at 10k+ volume) · based on Ocean baseline