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Eligibility and Enrollment Services

Eligibility and Enrollment Services

Eligibility and Enrollment Services

1 verified client
Eligibility and Enrollment Services
Eligibility and Enrollment Services

Overview


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Avia Summary

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Eligibility and Enrollment Services is a solution provided by Change Healthcare which was founded in 2007. It belongs to multiple categories of digital health solutions including Revenue Cycle Management (RCM) and Payer Intelligence.
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It has 1 verified client.
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Some other resource(s) that may be helpful in learning about Eligibility and Enrollment Services include: Q&A with Archie Mayani of Change Healthcare: A collaborative approach to automation and Top Prior Authorization Companies Report | 2023
DESCRIPTION
Uncompensated care continues to have an enormous impact on providers’ bottom lines, with $41.3B in charity care and bad debt recorded for 20182. As millions of consumers have recently lost their employer-based healthcare coverage due to unemployment, and millions of others struggle with high out-of-pocket deductibles, it falls to you to help alleviate patients’ financial stress and simultaneously support the bottom line. We can help via our proven strategy that drives patient satisfaction, loyalty, and revenue. Engage our Expertise: Helping patients to secure financial assistance requires a combination of innovative technology and expert staff: • Our Eligibility & Enrollment Services leverage AI and other innovative tools to improve process efficiency and screen all patients. Bedside tablets are part of our proprietary workflow and can be used to capture patient documentation and signatures in a timely, efficient manner. • Our staff has local, state, and federal-specific expertise and in-depth experience in sourcing potential coverage for each patient. We leave no stone unturned as we assess patients’ eligibility for Medicare/Medicaid, Disability/SSI, Third-party Liability, commercial insurance, state and county programs, social programs, and charity. We then help patients to enroll in the appropriate program(s) and process claims for payment. Customizable Services: Our team is tightly integrated to serve as an extension of your organization. We understand that patient experience is enhanced with our ability to express empathy and kindness as we assist patients in understanding their financial responsibility while helping them to find and enroll in programs. We offer onsite services where our team is embedded to deliver high-touch assistance early in the patient journey, driving faster enrollment to accelerate payment. We also offer remote services as needed.
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Company information

Founded in 2007

48.0M total equity funding

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Reviewer’s Org Size
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Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

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