Healthcare for Government

Revenue Protection Solutions to Support Government Healthcare

TransUnion Healthcare offers the following solutions for government:

Other Health Insurance (OHI) Discovery

TransUnion Healthcare’s OHI Discovery solution automatically discovers and identifies potential first-in-line insurance coverage for government member claims. We verify that all found coverage is active for the date of service, ensuring that only high quality, viable insurance benefits results are received. As a result, you can recapture incorrectly paid claims that should have been paid by secondary insurance and improve coordination of benefits to avoid payment of future claims.

Learn About Other Health Insurance Discovery

Insurance Eligibility

TransUnion Healthcare’s Insurance Eligibility solution accurately captures eligibility and benefits information upfront, including potential secondary coverage, to ensure earned revenue gets paid. This solution provides an electronic verification of patient coverage, including copays, coinsurance and deductible information, throughout the entire billing process — from pre-registration to point-of-service, claims and appeals.

Learn About Insurance Eligibility

Identity Verification

Medical identity theft is on the rise, and the need to protect this sensitive patient health information has become increasingly important. An identity verification solution should not only identify a patient correctly at registration, it should also cleanse your internal database. Our HIPAA compliant identity verification solution uses multiple datasets to validate patient identity and demographic data and prevent identity theft with built-in alerts.

Learn About Identity Verification

TransUnion Healthcare arms you with actionable data

Our database contains information on over 95% of the U.S. population and over 350 million social security numbers.

hospitals and healthcare systems use our solutions, including the VA and DHA

in cash recovered by our provider customers

recouped and $203 million cost avoidance for a Government entity, thanks in part to TransUnion’s Other Health Insurance Discovery solution

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