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Patient Payment Estimation

Increase price transparency and point-of-service collections with accurate patient payment estimates

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 negotiated contracts, charge master information, historical charges and patient-specific benefits.

Patient Payment Estimation

Empower staff to more confidently address payment conversations upfront and improve collection efforts. Simplify the estimation process with an exception-based workflow that offers:

  • Touchless workflow — Automatically process steps necessary to complete a patient estimate
  • Auto add technology — Automatically add procedure codes normally performed together in estimates, resulting in more accuracy
  • Facility and professional charges — Combine both sets of charges into one estimate or break them out by group
  • Easy-to-understand estimate letter — Help staff better understand and explain benefits and out-of-pocket costs to patients

Our complementary solutions verify patient identity, eligibility and benefits, medical necessity and patient financial clearance.

Online Patient Estimation

Allow healthcare consumers to create meaningful online estimates for improved access to transparent pricing information with a self-service solution that offers:

  • Accurate and reliable estimates — Leverage information from payer contracts, encounters data, charge description master and real-time insurance eligibility verification to produce a credible estimate of patient’s out-of-pocket costs
  • Simple steps — Guide patients through how to quickly create an estimate on the provider’s website
  • Mobile compatibility — Accommodate various screen sizes and devices through a responsive user interface
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