Avia Logo

Compare Products


Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details
Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Awards
Differentiators
Keywords
Media
Company details

Categories

Solutions

Description

Product Description:
Loyale Patient Financial Manager™(PFM) is an interoperable end-to-end patient financial engagement platform for enterprise applications. PFM delivers robust pre-procedure functionality and deep analytical capabilities throughout the patient revenue cycle. Loyale’s most complete and powerful solution.
About Loyale Healthcare:
Loyale Healthcare, launched in 2016, is the culmination of their experiences with consumers, patients and providers. Their suite of solutions powers more successful financial relationships between providers and their patients. The result? Patients pay more, pay sooner and have a better overall care experience.
Product Description:
There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts
About Waystar:

Waystar delivers innovative technology that simplifies and unifies healthcare payments. The company’s cloud-based platform helps healthcare providers across all care settings streamline workflows, improve financial performance and bring more transparency to the patient financial experience. Waystar solutions have been named Best in KLAS or Category Leader by KLAS Research 16 times (across multiple product categories) and earned multiple #1 rankings from Black Book. The Waystar platform is used by more than half a million providers, 1,000 health systems and hospitals, and 5,000 payers and health plans—and integrates with all major hospital information and practice management systems. On an annual basis, Waystar’s AI-powered solutions process $5B in patient payments, generate $4B in out-of-pocket estimates and process claims representing approximately 40% of the U.S. patient population. For more information, visit www.waystar.com.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Use Cases

Description:

Improve:

  • Revenues
  • Patient Communications
  • Payments and Refunds
  • Patient Price Transparency
  • Enterprise Wide Business Intelligence
Pediatric use cases:

None provided

Users:

Patients, Providers, Administrators

Description:

With over 300+ payers and a broad array of deployable service lines and patient types, we provide a full cycle automation solution for prior authorization: from pre-scheduled prior auth submission, status checking and denial prevention worklist alerts, as well as medical necessity verification and notification of admission.

Pediatric use cases:

None provided

Users:

Pre-service financial clearance teams, auth cert teams, any prior authorization staff doing medical necessity as well as authorization for services at acute care facilities or OP areas.

EHR Integrations

Integrations:

Acute care EMR, Ambulatory EMR, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Allscripts/Eclipsys, Azalea Health/Prognosis

Hardware Compatibility:

Desktop, Mobile / Tablet (web optimized)

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Awards

edit-media
edit-media
edit-media
edit-media
edit-media
No awards image

Differentiators

Differentiators vs EHR Functionality:

In the increasingly consumer-driven healthcare market, providers can learn a lot from successful retailers who recognize that customer relationships are their most valuable asset.

Healthcare providers write off billions of dollars a year in bad debt attributable to patient responsibility. The old systems they relied on to gather payment from insurance companies don’t work with patients.

With Loyale Patient Financial Manager™, patients get the transparency, payment options and support they need to feel in control. The same kind of control they expect in every other financial transaction.

Providers that use PFM™ to automate, optimize and personalize patient financial experiences join the ranks of leading companies in all sectors that earn the enthusiastic support of the people they serve.

They collect more, collect sooner (often upfront) and deliver comprehensive care experiences that promote better revenues, higher profitability and profound competitive advantages.

Differentiators vs Competitors:

None provided

Differentiators vs EHR Functionality:
Many hospitals, health systems, and IDNs have invested in billion dollar EMR/EMRs which are an extraordinary vehicle for clinical and billing functions -- but lack the ability to elevate automation in key business areas such as prior authorization. This is due to their lack of payer connections and the absence of advanced intelligent software. Together, Waystar brings the intelligence that powers today's EMR/EHR platforms and automation efforts.
Differentiators vs Competitors:
With nearly a decade in the business of automating prior authorizations, we are known for our internal expertise when it comes to payers, process change, and technology. We believe pushing the envelope in know-how across all 3 is what gives our clients the edge on automation. With more payer connections, more relationships with payers, and greater flexibility in accessing payer data we can access the best and most timely data. We not only seamlessly integrate with EPIC but offer full-stack integration capabilities or a powerful stand-alone application -- all because each patient access team is different. And powered across our Hubble platform (a blend of RPA, machine learning, NLP, and advanced auth rules) we are well positioned to power your automated enterprise.

Keywords

Images

1 of 6

edit-media
loyale6.svg

No images provided

Videos

1 of 4

edit-media

No videos provided

Downloads

No content provided

No content provided

Alternatives

Company Details

Founded in 2016

Founded in 2000

ADD PRODUCT

Add similar products

team illustration
Share your product comparison with your collegues.

Need help narrowing down products?

Add more criteria to see your compatibility level for every vendor. It only takes a few minutes, just create a free account to get started.
back to top