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Patient Access

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

Engage patients early to improve satisfaction and likelihood of payment

More than ever, patients expect greater transparency and engagement — along with useful resources and tools — to better understand the financial aspects of their care. TransUnion Healthcare’s patient access solutions combine accurate data, insights and industry expertise to provide a comprehensive view of consumer financial situations and payment behaviors for improved patient engagement.

Our solutions help make mutual trust possible by delivering accurate information to patients and providers during registration. With enhanced collaboration regarding payment for care (based on unique financial situations), you can create better patient experiences.

It's a win-win: Patients better understand costs to make informed decisions, and you streamline processes which often results in a higher propensity for patient payments.

Patient access solutions to improve profitability

patient payment estimation product

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
Woman's hands holding credit card and typing on keyboard on laptop

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.

Insurance Eligibility page

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 product

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
insurance eligibility product

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.

two women having a discussion while sitting

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
medical staff looking at computer monitor

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.

Quick Facts

* TransUnion Healthcare analysis


ClearIQ Patient
Payment Estimation

ClearIQ Patient
Payment Estimation

ClearIQ Insurance

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.

If you’re a consumer with questions or issues related to your personal credit report, drivers history report, disputes, fraud, identity theft, credit report freeze or credit monitoring services, please visit our Customer Support Center for assistance.

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