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Service

Eligibility and Enrollment Services

A customizable solution for providers to help find coverage for self-pay patients. 

Using innovative technology and a network of experts to help find coverage

Trained experts

Medicaid expertise with a 90% approval rate on applications

For over 30 years, we’ve developed strong relationships at the state and federal level that help us stay current on changes, so we can facilitate applications for coverage.

Our quality assurance scores are consistently above 95%, reflecting our commitment to stellar service for both patients and providers.

      Patient advocacy

      Patient education and advocacy

      We provide omni-channel communications and a patient education website designed by behavioral science experts to help patients learn about patient financial responsibility and to engage with our team.

      Hospitals and health systems using our Eligibility and Enrollment Services in 2023 received $502 million in reimbursement by enrolling patients in programs.

      Key benefits

      A smarter way to find coverage.

      Technology plus services to help reduce uncompensated care

      Help reduce the risk of bad debt by leveraging innovative technology and highly trained staff to efficiently identify and enroll patients in financial coverage programs.

      Improve the patient experience to drive loyalty

      Ease patient’s financial stress by finding coverage options through Medicare/Medicaid, Disability/SSI, third-party liability, commercial insurance, state and county programs, social programs and charity.

      Leverage innovative technology to drive efficiency

      Help accelerate enrollment by using artificial intelligence to screen each patient, and  distinct workflow that includes using bedside tablets to complete applications early in the patient journey.

      Rely on expert staff to drive success

      Enable secure coverage and reimbursement by leveraging the training, specialization and experience of staff who are highly adept at working with local, state and federal resources.

      Related healthcare insights

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      On-demand webinar

      Optimize patient access with automation

      This webinar shares best practices for optimizing patient access with automation and consumer-centric technology strategies.

      White paper

      Analytics answer compliant coverage identification

      Using advanced analytics and rich data resources can help boost providers’ ability to screen the self-pay patient.

      E-book

      How the revenue cycle and leaders are evolving

      Find out how to shift your revenue cycle left, focusing on front-end revenue cycle management (RCM) capabilities.

      Learn how we can enhance your approach to eligibility and enrollment

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