Patient Access
Improve the patient financial experience, streamline workflows and increase point-of-service collections
Patient Payment Estimation
Increase payment transparency by enabling healthcare providers to generate accurate, out-of-pocket costs for patients prior to treatment, and allowing consumers to quickly create highly-reliable, online estimates on their own. Our Patient Payment Estimation solution helps:
- Enable upfront conversations and better understanding about patients’ financial responsibilities
- Increase price transparency
- Improve point-of-service payments
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
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
- Objective, automated charity program enrollment process
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.
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
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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98% of U.S. insured lives covered by our Insurance Eligibility solution*
Serving more than 1,850+ hospitals and health systems
Access to data on an estimated 500 million credit histories
* TransUnion Healthcare analysis
- ClearIQ Insurance Eligibility
- ClearIQ Patient Payment Estimation
- ClearIQ Insurance Eligibility
- Revenue Manager
- Insurance Eligibility
1 HFMA staff and volunteers determined that these products met specific criteria developed under the HFMA Peer Review process. HFMA does not endorse or guaranty the use of these products.
Products For Healthcare Patient Access
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Healthcare Claim Status
Receive timely feedback on outstanding claims, reduce cost-to-collect and improve cash flow -
Identity Verification
Improve registration accuracy by verifying patient identity and contact information. -
Insurance Eligibility
Verify patients’ insurance eligibility and benefits to increase point-of-service collections -
Other Health Insurance Discovery
Discover first-in-line insurance coverage for your medical claims – including what others miss -
Patient Financial Clearance
Get a complete picture of a patient’s ability and willingness to pay in order to improve collection efforts -
Patient Payment Estimation
Increase point-of-service collections and improve staff productivity with accurate patient payment estimates -
Social Determinant Risk Attributes
Determine risk factors that can impact population health programs.
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