Streamline verification of patient identity, address and demographic data for your clients, improving their patient registration process, helping ensure HIPAA compliance and reducing returned mail costs.
Provide out-of-pocket patient cost estimates to your clients’ patients. Our Patient Payment Estimation solution helps increase point-of-service collections, reduce bad debt and improve staff productivity.
Help your clients confirm prior authorization requirements and medical necessity prior to service to avoid denials and lower their administrative costs.
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 as well as the likelihood to qualify for financial assistance.
Accelerate your clients’ claim resolution and help reduce their denials and A/R days. Our electronic Claim Status solution provides detailed, up-to-date claim status information so you can prioritize and work only the accounts that need attention.
Find additional coverage for your clients that other eligibility services miss. Our Insurance Discovery solution helps providers quickly discover and bill missed insurance coverage prior to manual collection efforts.
Identify potential first-in-line insurance coverage for your clients’ member claims. Help your payer clients recover payment for incorrectly paid claims and improve your coordination of benefits process to avoid payment of future claims.
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
"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
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.
Best Practices MCOs should consider for healthy encounter data
Identify barriers that prevent the delivery of accurate and timely encounter data
How Hospitals Can Avoid Permanently Missed Reimbursement
More than $10 million in recovered revenue annually for academic medical center