Solution
Patient Financial Clearance
Our pre-service financial clearance solution helps providers reduce denials, get paid faster and optimize workflows from registration through point-of-service collections.
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What’s included
Unlimited insurance eligibility verification checks
- Connect with payers via x12/270/271 transactions and web portal.
- Identify Medicare, Medicaid and Health Maintenance Organization (HMO) coverage.
- Get detailed benefit eligibility data.
- Access the patient data needed to appeal claim denials.
Streamlined financial clearance workflow
- Access patients’ complete financial clearance profile in one dashboard.
- Improve the accuracy of your registration data in real time.
- Help reduce duplicate data entry with electronic health record (EHR) integration.
- Post payments collected at the point of service directly to your HIS.
Automated screenings and verification
- Save time with automated pre-authorization.
- Help reduce denials with automated medical necessity checking.
- Reduce uncompensated care with an online charity-screening interview and enrollment form.
6 steps to optimal financial clearance
Increase registration data accuracy
Help reduce denials and streamline reimbursement by identifying errors in real time.
Accelerate eligibility verification
Use broad payer connectivity to verify eligibility and demographic data. Receive notifications of potential fraud and identity theft.
Evaluate patients’ ability and inclination to pay
Our automated financial screening solution predicts how likely patients are to pay to help guide your staff in discussing payment options with them.
Streamline pre-authorization and medical necessity workflows
Save time with automated pre-authorization and medical necessity checks, approvals monitoring, and updates to your EHR.
Boost staff productivity
Enhance efficiency with an intuitive, consolidated dashboard of patient benefit details and key data, including specialized Medicare and Medicaid views.
Improve patient satisfaction
Calculate your patients’ out-of-pocket expenses and provide a cost estimate to support price transparency, drive upfront collections and help eliminate surprise billing.
