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Solution

Patient Access

Improve the patient financial experience, streamline workflows and increase point-of-service collections

Patient access solutions to improve profitability
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Patient Payment Estimation

Increase payment transparency by generating accurate, out-of-pocket costs for patients prior to treatment, and giving them access to quickly create highly reliable online estimates on their own. Our Patient Payment Estimation solution helps:

  • Enable upfront conversations and better understanding about patients’ responsibilities and flexible medical financing options
  • Increase price transparency
  • Improve point-of-service payments
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Patient Engagement and Financing

Strengthen patient relationships and improve collection efforts by providing a personalized payment experience based on scoring, segmentation and patient preferences. Through our unique partnership with VisitPay, you can target outreach and engagement efforts, and give patients access to transparent billing information and control over their payments. Our solution offers consolidated account billing views, customized and flexible financing options, and an upfront display of payment financial responsibility.

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Patient Identity Verification

Improve registration accuracy and collection efforts by verifying patient contact information at the point of service. Our Identity Verification solution validates patient demographic information in real time, and helps:

  • Confirm patient identity
  • Reduce mail costs
  • Help ensure HIPAA compliance
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Patient Financial Clearance

Make quick, informed decisions about a patient's propensity to pay or likelihood to qualify for financial assistance during registration and financial counseling. Patient Financial Clearance solutions provide:

  • More fulsome picture of a patient's identity and monetary situation
  • Insights to help segment patients into the appropriate workflow
  • Objective, automated charity program enrollment process
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Healthcare Insurance Eligibility

Use Insurance Eligibility to verify patients' insurance — including copays, coinsurance and deductible information — in real time to:

  • Avoid processing errors and denials
  • Eliminate costly reworks
  • Help ensure earned revenue gets paid

Claims Status helps accelerate claim resolution with up-to-date status information.

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Medical Necessity

Accurately determine medical necessity prior to service to better inform patients of covered and non-covered services. Our Medical Necessity solution enables you to:

  • Validate procedure codes against Medicare medical necessity rules and determine diagnoses that pass or fail coverage rules
  • Generate Advanced Beneficiary Notice (ABN) when needed for patient signature
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Social Determinant Risk Attributes

Determine risk factors that can impact population health programs with TransUnion Healthcare’s Social Determinant Risk Attributes. When used in conjunction with your organization’s clinical and claims data, these attributes help provide powerful insights into:

  • Segmentation
  • Enhanced predictive modeling
  • Care management

TransUnion Healthcare's patient access solutions ensure a more stress-free patient experience — helping you and your patients better navigate financial uncertainty.

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