Service

Eligibility & Enrollment Services

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

 

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2023Best in KLAS services to optimize financial performance

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Technology plus services to help reduce uncompensated care

Help reduce the risk of bad debt by leveraging innovative technology and highly trained staff to efficiently identify and enroll patients in financial-coverage programs. 

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Improve the patient experience to drive loyalty

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

Doctor looking a tablet

Leverage innovative technology to drive efficiency

Help accelerate enrollments by using artificial intelligence to screen every patient and a propriety workflow that includes using bedside tablets to complete applications early in the patient journey. 

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Rely on expert staff to drive success

Enable secure coverage and reimbursement by leveraging the training, specialization, and experience of staff who are highly adept at working with local, state, and federal resources. 

What's included

  • Highly trained experts

    • Our expertise helps us maintain a 90% approval rate on Medicaid applications.
    • 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%, reflecting our commitment to stellar service for 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 & Enrollment Services in 2020 received $882 million in reimbursement via enrolling patients in programs.
    • We work closely with governmental agencies to support accurate assessment and timely approval of applications.

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Our outcomes

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Article

Debunking myths about using vendors to manage the revenue cycle

Article

Debunking myths about using vendors to manage the revenue cycle

4 common myths about revenue cycle management outsourcing debunked.

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On-demand Webinar

Middle revenue cycle technology that provides strategic value

On-demand Webinar

Middle revenue cycle technology that provides strategic value

Middle revenue cycle technology that provides strategic value

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e-Book

A 2-stage Approach Links Pre- and Post-service Analysis

e-Book

A 2-stage Approach Links Pre- and Post-service Analysis

Learn how utilizing a coverage discovery solution in addition to eligibility verification helps you uncover hidden payment sources to drive bottom-line results.

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Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

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Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.