Passport Eligibility

Arm yourself with accurate patient insurance coverage data

Betty Lee shares her experience using Experian Health's Passport Eligibility. 

Just as a doctor needs a stethoscope to know what’s going on with a patient’s heartbeat, you need accurate eligibility data to know how much and which payer to bill—and to let patients know what they owe up front. 

So when the job is making sure you have correct payer and benefits information, the right tool is an automated verification solution. 

Simplify the insurance verification process by using search optimization functionality and data enrichment intelligence. Passport Eligibility takes your request submission and results review tasks and sends back accurate and actionable insurance data. 

When patients and providers are aware of their coverage, co-pays and deductibles at the time of service, you experience fewer payment delays, less confusion and minimal need for follow-up.

Passport Eligibility verifies coverage at any point in the billing process — from pre-arrival to check-in to charge entry, claims submission and payment posting — in batch or real-time. 

Key features and benefits

Improve cash flow, patient satisfaction

Access to up-to-date eligibility and benefits data increases clean claims rates and accelerates reimbursement. It also makes for a better patient experience. When used with Experian Health Patient Estimates—a tool that estimates a patient’s out-of-pocket costs based on payer contract terms—Passport Eligibility lets healthcare organizations provide the patient’s portion of the bill up front. 

Streamline workflow

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 individuals who unknowingly have coverage, providers can reclassify patients and submit claims, taking financial burden off self-pay patients while increasing likelihood of getting reimbursed.

The importance of prioritizing eligibility verification

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Find out how you can streamline the insurance verification process using sophisticated search functionality and data intelligence—for fewer denials and a better patient experience. Complete the form below.