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Solution suite

Patient Financial Clearance

Our pre-service financial clearance solution accelerates reimbursement, reduces denials and optimizes workflows from registration through point-of-service collections. 

Simplify clearance insurance verification

Our comprehensive solution helps you more efficiently verify patient insurance eligibility, estimate patient financial responsibility and collect patient payments. Find out how you can improve your revenue cycle management and reduce your administrative costs.

End-to-end clearance insurance verification

Eligibility checks

Connect with payers through X12/270/271 transactions and their web portal. This allows you to identify coverage under Medicare, Medicaid and HMOs. You can also access detailed benefit eligibility data and patient data to appeal claim denials.

Efficient workflow

Access complete patient financial clearance profiles through a single dashboard. Enhance registration data accuracy in real time. Reduce duplicate data entry through HIS integration. Allow for direct payment posting collected at the point of service to your HIS.

Easy screening process

Save time with automated pre-authorization and medical necessity checking. Reduce uncompensated care by utilizing an online charity-screening interview and enrollment form. 

Key benefits

Simplify your processes for registration, reimbursements and eligibility checks while improving the patient experience. 

Increase registration data accuracy

Reduce denials and streamline reimbursement by identifying errors in real time.

Accelerate eligibility verification

Leverage broad payer connectivity to verify eligibility and demographic data. Get notifications of potential fraud and identity theft.

Set financial responsibility expectations with patients

Provide a cost estimate to support price transparency, drive upfront collections and put an end to surprise billing.  

Determine patients’ ability and inclination to pay

Use an automated solution that predicts propensity to pay to help guide your staff in discussing payment options with patients.

Streamline pre-authorization

Save time with automated checks, monitoring of approvals and updates to your HIS. 

Boost productivity

Enhance efficiency with an intuitive, consolidated dashboard of patient details and key data, including Medicaid and Medicare views. 

Let's start a conversation

We’re here to help you find out how our solution could benefit your organization. Complete this quick form, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Related healthcare insights

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.

Guide

Decrease denials strategy

Understanding the reasons for your claim denials is the first step to preventing them from happening in the future.

E-book

10 hurdles to reimbursement

Focus on the specific hurdles that hinder your claims and cause most of your denials. We'll walk you through how to clear each obstacle.

Current customer resources

Get reliable support

Our dedicated support team is available 24/7 to assist you. 

Visit client support portal

Join our community

Connect with other healthcare professionals, download resources and much more.

Join the conversation

Learn how we can help streamline clearance insurance verification

Complementary solutions

SmartPay Plus™

Our patient payments solution helps providers accelerate collections, improve the patient financial experience and simplify workflows.

Coverage Insight™

Our analytics-driven insurance verification software for providers helps you identify undisclosed coverage for patients.

Patient Access Contact Center Services

Strategic patient access and call center services for hospitals, health systems and large physician groups.