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.

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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 and a patient portal to complete applications early in the patient journey.

Case Study

Place Focus on Eligibility & Enrollment Services

Case Study

Place Focus on Eligibility & Enrollment Services

See how the Change Healthcare team worked hand-in-hand with Halifax Health to reduce uncompensated care while improving the patient financial experience.

Read Case Study

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.
  • Our patient portal makes it easy for patients to self-screen for eligibility and securely upload documents.
  • Hospitals and health systems using our Eligibility and & Enrollment Services in 2020 received $882 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 customers using Financial Clearance Services in 2020.

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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Related Categories

Providers
Hospitals & Health Systems
Revenue Cycle Management
Patient Access & Financial Clearance