Patient Access
Improve the patient financial experience, streamline workflows and increase point-of-service collections
Patient Payment Estimation
Increase payment transparency by empowering healthcare providers to generate accurate out-of-pocket costs for patients prior to treatment, and enable consumers to quickly create highly-reliable online estimates on their own. Our Patient Payment Estimation solutions:
- Enable up front understanding and conversations about patients’ financial responsibilities
- Help increase price transparency
- Improve point-of-service collections
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:
- Complete picture of a patient's identity and monetary situation
- Objective, automated charity program enrollment process
Healthcare Insurance Eligibility
Verify patients' insurance in real time, including copays, coinsurance and deductible information, with Insurance Eligibility to:
- Avoid processing errors and denials
- Eliminate costly reworks
- Ensure earned revenue get paid
Claims Status helps accelerate claim resolution with up-to-date status information.
Healthcare Authorizations
Confirm payer rules and requirements to identify potential coverage issues in advance of a medical procedure and prevent denials. Our healthcare authorizations solutions automatically screen for:
- Medicare medical necessity requirements
- Commercial, payer-specific prior authorization rules
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 improve your workflows and ensure a more stress-free patient experience — leaving you better equipped to collect more cash up front.
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98% of U.S. insured lives covered by our Insurance Eligibility solution*
Serving more than 1,800+ 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.
