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Search keyword: physician Medicaid re-verification
Insurance Eligibility (batch)
Re-check self-pay accounts for Medicaid Coverage
TransUnion Healthcare Insurance Eligibility solution re-checks aged self-pay accounts to determine if Medicaid coverage was available at the time of service without draining staff resources.
Benefits of Insurance Eligibility (batch)
- Increase net revenue
- Decrease bad debt and claims denials
- Lower cost-to-collect
- Reduce days in accounts receivable
Improve your processes with minimal changes to your existing systems
- Step 1:
- A batch extract report of all open self-pay accounts is created in your patient accounting system.
- Step 2:
- File is sent through secure FTP to TransUnion Healthcare.
- Step 3:
- Accounts are transformed into a benefit eligibility (HIPAA ANSI X12 270) message and transmitted to the Medicaid agency.
- Step 4:
- Benefit eligibility response (HIPAA ANSI X12 271) message is returned by Medicaid.
- Step 5:
- Coverage and benefit information is displayed.
Easily integrate TransUnion Healthcare Insurance Eligibility (batch) into your existing post-service processes.
Similar Solutions
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Related Solutions
Integrate other TransUnion Healthcare solutions for smarter post-service processes; including:
Why smarter pre-service processes matter:
According to a U.S. Department of Commerce study of depreciation of accounts held in house, accounts at 90 days reach a critical depreciation period of 0.5 percent per day. At 120 days, the ability to collect drops significantly, and by 180 days, the ability to collect plummets to less than 30 percent.
Optimize your collections with TransUnion Healthcare pre-service solutions, including:
Optimize your collections with TransUnion Healthcare pre-service solutions, including:
