Eligibility & Enrollment Solutions
Services for payers and providers that help to identify and support financially-vulnerable patients through payment counseling and program enrollment.
A Personalized Approach to Support Patients in Need
Improve outcomes by providing patient financial support
Change Healthcare helps hospitals and health systems reduce uncompensated care by identifying patient coverage. Our onsite staff consults with patients to determine their potential eligibility for enrollment in payment programs, provide financial counseling, and secure payment collections.
We also have over 15 years of experience in assisting payers to address plan members’ socio-economic determinants of health. By enrolling your members in the social programs for which they qualify, we help to facilitate their financial security, which can provide members with the boost they need to improve their personal circumstances and positively impact their health.
Reduce uncompensated care and bad debt for providers
The Eligibility and Enrollment Advocate solution suite is for hospitals and health systems that want to identify patient coverage to improve accounts receivable, reduce bad debt, and increase patient satisfaction by reducing out-of-pocket expenses.
Eligibility and Enrollment Advocate enables your team to stay focused on other patient access and revenue cycle tasks while we uncover appropriate funding sources and manage patient education and collections. Before a patient’s scheduled visits, onsite staff ensures patients understand their financial responsibility and have made arrangements, if needed. The Eligibility and Enrollment solution suite is ideal for Emergency Departments, inpatient and outpatient.
Help payers’ most vulnerable members receive the support they deserve
Our market-leading predictive analytics and machine learning capabilities offer a data-driven, patient-centric approach to social program qualification. We help you identify, reach, and assist qualified members with enrollment in these programs.
Our experienced team of advocates meet with patients to learn more about their circumstances and support them throughout the enrollment journey. We see their program applications through to approval, and remain engaged with members to keep them enrolled.
Our solutions help to avoid uncompensated care, improve patient outcomes, increase member satisfaction and loyalty. Our solutions are designed to raise your quality ratings, increase revenue, and decrease the cost of care for both providers and payers alike.
