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.

Contact Customer Support

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

Talk to Sales 1-844-798-3017

Get Started Online

All Fields Required

First Name *

Last Name *

Business Email: *

Job Function *

Job Level *

Claims Volume

Company *

Company Type *

Practice Specialty

Number of Covered Lives

Practice Management Software Vendor

Business Phone *

State/Location *

Comments/How can we help?

Existing Customers: Need Assistance?

Contact Customer Support

Financial Clearance Services

Financial clearance services for hospitals and health systems that want to decrease uncompensated care by helping patients find appropriate funding sources for medical bills.

Learn More

Third Party Coverage

Third-party liability claims management services for hospitals and health systems that want to optimize reimbursement for all accident-related medical claims.

Learn More

Financial Counseling

On-site patient financial counseling services for hospitals and health systems that want to educate patients on their financial options to help collect more revenue.

Learn More

Clearance Patient Access Suite

A pre-service financial clearance solution for providers who want to accelerate reimbursement, reduce denials, and optimize workflows from registration through point-of-service collections.

Learn More