Insurance eligibility verification and plan-specific benefits information confirmation
before services are rendered not only leads to fewer claim rejections and denials,
but it also lays the foundation for an effective patient financial counseling program.
With Passport Eligibility, healthcare organizations can electronically validate
patient co-pay, benefit and deductible information at any point in the billing process
via batch or real-time insurance checks with an extensive payer network.
Improve Cash Flow
Having access to the most up-to-date eligibility and benefits data increases clean
claims rates, eliminates costly rework and accelerates reimbursement. When leveraged
in combination with Experian Health Patient Estimates – a tool that
estimates a patient’s out-of-pocket financial obligations based on the latest
payer contract terms – healthcare organizations can take advantage of a fully
integrated insurance and benefits verification offering that increases time-of-service
collections, minimizes bad debt and boosts patient satisfaction.
Eligibility responses are viewed in a concise and consistent format that improves
efficiency. Providers apply custom business rules and analytics to returned payer
data, and automatically receive notifications when edits or follow-up are required.
Boost Self-Pay Revenue
Capitalize on additional reimbursement opportunities by electronically matching
self-pay patients against Medicaid and Managed Medicaid databases. After identifying
any individuals who may unknowingly have coverage, providers can reclassify these
patients and submit claims, which is often the quickest way to secure payment.