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

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Categories

Solutions

Description

Product Description:
Concern about paying healthcare bills can leave healthcare consumers and your finances hanging in the balance. Health systems use the consumer-friendly ClearBalance® patient financing program to ease patients’ fears about out-of-pocket medical costs by providing affordable payment options and reassurance before, during and after their care episode. Our unmatched 30 years’ worth of knowledge related to patient payment behavior and our track record for forecasting and providing funding strategies significantly improve critical revenue cycle metrics. ClearBalance patient financing positions your health system as the preferred choice the next time your patients or a family member needs care.
About ClearBalance:
ClearBalance is committed to helping people afford the care they need to lead healthy, happy lives. The healthcare industry will continue to evolve. So they must think, act and lead differently if they are to provide their clients and patients with loan programs that make sense. At all times they will act in an honest, fair and compassionate manner.
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

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Use Cases

Description:

Patient Financing

Patients can use a revolving line of credit (zero or low-interest) to pay their portion of healthcare costs. Long-term patient financing can be a strategic differentiator for your organization.

Payment Plan Transfer

Relieve accounts receivable pressures and boost cash flow while giving patients flexibility to repay out-of-pocket costs. Patient financing programs enable your organization to be a champion for patients, tipping their loyalty in your favor.

Patient Financial Engagement

ClearBalance provides ongoing high-tech, high-touch patient outreach with self-service tools and one-on-one healthcare-dedicated customer service to help patients manage their accounts.

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, Ancillary EMR, Patient portal

EMR Integration & Relevant Hardware:

Use case dependent

EMRs Supported:

Other

Hardware Compatibility:

Mobile / Tablet (web optimized), Mobile / Tablet (native app), Desktop

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Awards

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Differentiators

Differentiators vs EHR Functionality:

Loyalty

91% very likely to return to the healthcare provider that offers ClearBalance

Referral

88% will refer family and friends to the provider that offers ClearBalance

Differentiators vs Competitors:

ClearBalance HealthCare combines the best of high-tech and high-touch for a truly engaged patient-consumer experience to support patients when, where and how they want service.

Empowered Account Management: Featuring true single sign-on integration from your patient portal, our patient-facing self-service tools are an extension of your brand and enable patients to manage their account at their convenience. In the background, the ClearPath enrollment platform integrates with patient accounting, estimation and eligibility tools to automate staff workflow.

Dedicated, Empathetic Personal Assistance: For patients who prefer one-on-one interaction, the ClearBalance Patient Experience Center provides high-touch customer support. Our only business is healthcare and our focus is on your patients.

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

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Videos

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Company Details

Founded in 1992

Founded in 2000

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