Healthcare Partners and Resellers
Help your customers prevent revenue leakage with market-leading revenue protection solutions
Complement your current offerings to help drive growth to your business.
Healthcare Insurance Eligibility
Capture accurate insurance eligibility and benefits information up front for your clients, and:
- Decrease time spent in accounts receivable
- Reduce denials
- Maximize reimbursement
Patient Payment Estimation
Enable your healthcare provider clients and their patients to generate accurate out-of-pocket cost estimates for medical services. Our Patient Payment Estimation solutions help:
- Increase point-of-service collections
- Reduce bad debt
- Improve price transparency efforts
Patient Identity Verification
Streamline verification of patient identity, address and demographic data for your clients in order to:
- Improve their patient registration process
- Help ensure HIPAA compliance
- Reduce returned mail costs
Patient Identity Matching
Help improve patient identification to enhance care coordination and help protect patient safety with our Patient Identity Matching technology. This solution helps:
- Reduce patient misidentification by finding duplicate and mismatched patient records
- Link patients to their record
- Streamline costly, manual internal identity matching processes
Patient Financial Clearance
Provide your clients with the information needed to engage patients early in the financial process and optimize their collection strategies. Our Patient Financial Clearance solutions help your clients determine a patient’s:
- Willingness and ability to pay
- Likelihood to qualify for financial assistance
Claim Status
Accelerate your clients’ claim resolution and help reduce their denials and A/R days. With our electronic Claim Status solution, you can:
- Receive detailed, up-to-date claim status information
- Prioritize and work only the accounts that need attention
Insurance Discovery
Find additional coverage for your clients that other eligibility services miss. Our Insurance Discovery solution helps providers:
- Quickly discover missed coverage
- Bill for coverage prior to manual collection efforts
Other Health Insurance Discovery
Identify potential first-in-line insurance coverage for your clients’ member claims. Help your payer clients:
- Recover payment for incorrectly paid claims
- Improve your coordination of benefits process
Social Determinant Risk Attributes
Make better population health management decisions by proactively identifying and addressing social risk factors. Our Social Determinant Risk Attributes, when used along with your client’s clinical and claims data, can help:
- Population segmentation for better care management
- Determine healthcare usage patterns
- Develop effective treatment strategies
20+ years' experience with healthcare partnerships
98% satisfaction score from existing partners, emphasizing our superior customer service
50 years' experience analyzing and predicting consumer payment behavior
Partner Testimonials
"We like partnering with TransUnion Healthcare because they have a strong footprint in the eligibility space and have continually demonstrated a willingness to be a partner, not just a vendor. We have monthly meetings to review key areas of performance and improvement together."
Director of a Revenue Cycle Management Company
"ClearIQ Patient Payment Estimation makes it easier for our staff to create accurate estimates and ask patients for their financial responsibility prior to service. Our staff likes ClearIQ because it provides an estimate letter that is easy for them to explain to patients, and patients are appreciative that we are showing them what they are actually paying for up front. Banner has increased POS collections by 42.2% from 2013 to 2017 after ClearIQ implementation."
Jeni Erikson, Senior Director, Patient Financial Services, Banner Health
- ClearIQ Patient Payment Estimation
- ClearIQ Patient Payment Estimation
- ClearIQ Insurance Eligibility
- Revenue Manager
- Insurance Eligibility
1 HFMA staff and volunteers determined that these products met specific criteria developed under the HFMA Peer Review process. HFMA does not endorse or guaranty the use of these products.
Getting Ahead of Price Transparency: Strategies to Help Patients Better Understand Costs
Year-End Preparation: Tips for Evaluating Bad Debt Accounts
Strategies to Prevent Denials and Find More Insurance Coverage
Uncompensated Care Reimbursement: Ensure Accurate Reporting of Worksheet S-10
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TLOxp® is available to qualified Subscribers for permitted uses. Subject to individual Subscriber data permissions.
The TLOxp solution is not provided by a "consumer reporting agency" and does not constitute a "consumer report," as these terms are defined by the Fair Credit Reporting Act, 15 U.S.C. Section 1681 et seq. ("FCRA"). The TLOxp solution may not be used in whole or in part as a factor in establishing an individual's creditworthiness or eligibility for credit or insurance, or employment, nor for any other purpose under the FCRA.