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 2021 Best in KLAS Leader for Eligibility Enrollment Services.
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.
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