Solution

Patient Access

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

Engage patients early to increase payment transparency and satisfaction — and improve cash flow

A healthy bottom line depends on earned revenue getting paid. As patients become the new payer, it's more important than ever to engage them early in the financial process. TransUnion Healthcare offers patient access solutions with guided workflows to improve patient engagement. Our solutions — which provide rich, consumer data assets and insights into consumer financial behaviors — increase registration process accuracy and create a more transparent and positive patient experience.

It's a win-win: Patients understand the costs associated with care in advance, and you get streamlined processes that often result in higher propensity for payment from patients up front.

Patient access solutions to improve profitability

Patient Payment Estimation

Increase payment transparency by accurately estimating patients' out-of-pocket costs prior to treatment. Patient Payment Estimation is able to:

Enable up front conversations about patients’ financial responsibilities
Increase 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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Quick Facts

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

Accreditations

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.

TransUnion: Products By Solution

Products For Healthcare Patient Access

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Healthcare Authorizations

Verify prior authorization and medical necessity upfront to ensure procedures are approved prior to service

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