Deliver a more transparent patient financial experience by providing accurate out-of-pocket cost estimates for medical services in advance. Engage patients early with our Patient Payment Estimation solutions.
Empower patients and your staff with timely, upfront and meaningful pricing information to boost likelihood of payment.
Offer convenient, online cost estimates to healthcare consumers, driving a more streamlined process for provider staff.
Help foster informed patient healthcare decisions with thorough understanding of out-of-pocket costs, while meeting both provisions from the 2021 CMS Price Transparency mandate — access to search 300 shoppable services, as well as the machine-readable, hospital standard charge file.
Our market-leading technology and data drive highly accurate and reliable estimates for both healthcare providers and consumers. Our contracts-based engine produces credible estimates from payer-specific negotiated contracts, charge master information, historical charges and patient-specific benefits.
Empower staff to more confidently address payment conversations upfront and improve collection efforts. Simplify the estimation process with an exception-based workflow that offers:
Allow healthcare consumers to easily obtain meaningful online estimates for improved access to transparent pricing information on common procedures with a self-service, web-based solution that offers:
Give patients more transparency and control over their medical payment options. Our unique partnership with VisitPay, empowers patients by offering:
A leader in healthcare revenue protection solutions
Serving more than 1,850 hospitals and health systems
Access to data on an estimated 500 million credit histories
Five technology patents and three pending for maximizing reimbursements to optimize the healthcare revenue cycle
Connected to 880 payers, covering 98% of insured lives in the U.S.
1 HFMA staff and volunteers determined that this product met specific criteria developed under the HFMA Peer Review process. HFMA does not endorse or guaranty the use of these products.
Status Update on the CMS Price Transparency Mandate
Price Transparency Matters — To Your Patients and Organization
Utilizing Data to Drive Improvements
Top 2021 “To-Dos” — Simplify RCM Strategies and Protect Earned Revenue