Eligibility & Enrollment Services

A customizable solution for providers that want to leverage innovative technology and a highly skilled team to identify sources of coverage for self-pay patients.

Engage the KLAS 2020 Category Leader in Eligibility and Enrollment

Take advantage of our proven strategies for reducing uncompensated care.

Leverage staff with local, state, and federal-specific expertise who are highly adept at assessing patients for coverage, identifying funding sources, and helping patients enroll in programs.

Alleviate patients’ financial stress by sourcing coverage via Medicare/Medicaid, Disability/SSI, third-party liability, commercial insurance, state and county programs, social programs, and charity.

Use artificial intelligence to improve workflow efficiency to screen every patient 

Embed our highly skilled team in on-site and remote processes to provide high-touch support for patients. 

Drive faster enrollment to accelerate payments via a proprietary workflow that includes using bedside tablets to complete applications early in the patient journey.

A Combination of Expertise and Innovative Technology Deliver Results

Highly Trained Experts

  • Our expertise helps us maintain a 90% approval rate on Medicaid applications¹ 
  • Strong relationships at the state and federal level developed over the course of 30+ years help us to stay abreast of changes so we can optimize applications for coverage.
  • Our quality-assurance scores are consistently above 95%², reflecting our commitment to stellar service to both patients and providers.

Patient Education and Advocacy

  • We offer omni-channel communications and a patient education website designed by behavioral science experts to encourage patients to learn about patient financial responsibility and to engage with our team.
  • Hospitals and health systems using our Eligibility and Enrollment Services in 2019 received $902 million in reimbursement via enrolling patients in programs.³
  • We work closely with governmental agencies to ensure accurate assessment and timely approval of applications.

Change Healthcare's Eligibility and Enrollment Services has been named Best in KLAS Category Leader for 2020

¹,² Change Healthcare internal statistics

³ Change Healthcare 2020 internal analysis of 340 customers using Financial Clearance Services in 2019.    

95%

of inpatients and observation patients are screened inhouse

90%

approval rate 

250,000+

applications submitted annually  

Source: Change Healthcare data

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