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Patient Payment Estimation

Increase point-of-service collections and improve staff productivity with accurate patient payment estimates

Market-leading technology and data

Patient Payment Estimation uses a fully-automated, contracts-based engine that produces individual or combined patient estimates with:

  • Touchless workflow — Automatically processes steps necessary to complete a patient estimate
  • Credible information — Analyzes payer negotiated contracts, charge master information, historical charges and patient benefits to generate a reliable estimate
  • Auto add technology — Automatically adds procedure codes normally performed together in estimates, resulting in more accuracy
  • Easy-to-understand estimate letter — Helps staff better understand and explain benefits and out-of-pocket costs to patients


Gain a deeper understanding of patient payment estimation performance and trends to optimize processes and to improve patients' financial experience. Analyze estimates data to uncover trends that impact efficiency and accuracy, including:

  • Under-to over-calculated estimates
  • Monthly comparisons of completed estimates across facilities
  • Visibility into expected reimbursements from patients and payers
  • Opportunities to improve estimation workflow

Exception-based web platform

Patient Payment Estimation, part of TransUnion Healthcare’s ClearIQ® web-based platform, simplifies and improves the process to complete a patient estimate with an exception-based workflow that offers:


“ClearIQ© 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’s easy for them to explain to patients, and patients are appreciative that we’re showing them what they’re actually paying for up front. Banner increased POS collections by 42.2% from 2013 to 2017, after ClearIQ implementation.”

Jeni Erikson, Senior Director, Patient Financial Services, Banner Health

*After Patient Payment Estimation solution implemented at Banner Health. View the case study.

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