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Global Presence United States

Solution

Patient Access

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

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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

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

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.

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
Insights to help segment patients into the appropriate workflow
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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Quick Facts

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

Accreditations

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.