Patient Financial Clearance
Automate your patient financial assistance with Experian’s robust data
Approximately 41% of Americans face medical debt, exacerbated by high out-of-pocket costs and rising co-pays. Many patients are unaware of the financial assistance available to them and struggle to navigate the process.
Patient Financial Clearance helps by identifying patients likely to pay and connecting those who qualify for financial assistance with the right programs. This ensures health equity and supports staff with automated screening using Experian’s comprehensive data and analytics.
We also make it easier for patients. With integrated patient financial self-service automation, patients can complete applications and submit documents online using their smartphone or computer.
Increase collections
Screen patients efficiently based on Experian’s data-driven segmentation models. Identify high-value collection opportunities, boost revenue and cut collection costs.
Automate your financial assistance process
Replace manual processes with automated work queues to precisely identify eligible patients for financial assistance aid.
Provide empathetic financial counseling
Connect patients with relevant assistance programs, auto-enroll them, and establish tailored payment plans based on their financial situation.
Empower patients to complete their applications electronically
With our Self-Service feature, patients can complete their applications on their smartphones or on your website.
Optimize your Medicaid workflow
Access custom screening process in the eCare NEXT® platform to manage the Medicaid enrollment workflow efficiently.
Comply with IRS 501(r)
Strengthened by Experian Verify™, real-time verified income produces audit-ready proof of income for 501(r) charity-care requirements.
Patient Financial Clearance already screens for financial assistance and Medicaid eligibility using modeled estimates. Experian Verify adds a different kind of input: real-time, verified income and employment data reported directly by employers - not a model, not a tax return, the employer's own record.
That data comes from Experian's employer payroll network, one of the largest instant-access networks in the market: 67 million-plus active records, covering up to 40% of the U.S. workforce. It's the same scale of employment data trusted across lending and verification markets, now built into your financial clearance workflow. Instead of estimating whether a patient still qualifies for Medicaid or financial assistance, you can see verified income, employment, and hours worked, as reported by their employer. It plugs into Patient Financial Clearance as a native add-on, with no development work required on your end.
67M+
active records in Experian's employer payroll network, with instant data lookups.
40%
Up to 40% of the U.S. workforce is covered by the network.
Verified
Verified (not modeled) employment, pay period, and income detail reported directly by the employer.
Stephanie Williams, who leads Patient Access Services at Eskenazi Health, talks about how their organization teamed up with Experian Health to streamline the financial assistance process through Patient Financial Clearance automation.
Andrew Pederson, Director, Patient Financial Experience at University of Colorado Health, talks about how Patient Financial Clearance automated their financial assistance process and empowered their staff to be more efficient.
Case Study: UCHealth writes off $26 million in charity care
Learn how UCHealth wrote off $26 million in charity care by using data and automation to understand patients’ unique financial needs.