RP Sanjiv Goenka Group

Firstsource Healthcare Cloud: Insurance Verification

Verify healthcare insurance eligibility in real time

Reduce denials and protect revenue

Digitally verify healthcare insurance eligibility, coverage and benefits

Nearly 50% of patients say that a clear estimate of financial responsibility will impact whether they will see a particular Provider or not, and 70% of patients are more likely to pay if they receive an estimate on the day of service.

Firstsource’s Healthcare Cloud: Insurance Eligibility Verification  services enable real-time or batch verification, claim status monitoring and fraud mitigation. The healthcare insurance eligibility verification solution checks the status of your patient’s deductibles and co-pays based on their coverage –  across the billing process – from scheduling and pre-registration to registration and discharge.

With robust features such as real-time processing, HIS integration and 24/7 support, the solution seamlessly integrates with your EHR and EMR systems for enhanced decision making and superior financial outcomes.

Uses exception-based error detection to identify costly errors early on and reduce rework and front-end related denials

Reduces upfront denials using patient address validation, patient identity and healthcare insurance eligibility verification

Complies with price transparency regulations and improves patient satisfaction with accurate out-of-pocket cost estimates

Outcomes delivered

Increase in POS cash collections six months from go live

Reduction in no-shows and cancellation rates

Personalized bill estimate accuracy

Reduction in in-person registration time

See how we bring it all together

Our comprehensive solution includes an entire stack of digital-first patient engagement and Eligibility and Enrollment solutions. They are designed to uncover missing patient information and enhance engagement with patients across their journey, dramatically improving patient satisfaction as well as financial performance for hospitals.

Preparing for a Historic Medicaid Redetermination Surge

Preparing for a Historic Medicaid Redetermination Surge

Our cloud-first healthcare insurance eligibility verification solutions dramatically reduces denials, decreases Accounts Receivable days, and increases revenue. It significantly improves Point of Service (POS) collections through real-time insights into co-payments, deductibles, and other relevant data.

Explore insights

3 ways to prioritize pre-service through digital patient engagement

Digital Patient Engagement: Helping Uninsured Americans Gain Access to Care

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Eddie Monteiro

Eddie is currently Chief Operating Officer at Educational Testing Service (ETS), where he sets and drives the transformation agenda across the company and has responsibility for all technology and operations functions in addition to the College Board, K-12, and teacher licensure businesses. He previously ran business and technology services at Pearson, where he built a global team to enable scalable delivery of enterprise functions. Prior to that, while at IBM, he held several executive leadership roles in the US, Mexico and Brazil across a diverse set of industries and clients.
Geetha Krishnan

Geetha Krishnan

Geetha Krishnan consults with the Indian Institute for Human Settlements in Bangalore as Senior Advisor and Head of Digital Blended Learning, where he spearheads their online learning and continuing education portfolio. Over 25 years, Geetha has played senior roles in diverse sectors such as academia, online learning, and advertising. In his last role as Director – Centre for Executive Education at the Indian School of Business (ISB), Geetha was head of the profit center comprising more than 50 open enrollment and long duration programs and spearheaded ISB’s foray into online learning by enabling their partnership with Coursera.
Susan Aldridge

Susan Aldridge

Dr. Aldridge is an Executive Higher Education Consultant to university presidents and ministers of education regarding business models and technology-enhanced education. She recently retired from Drexel University after serving six years as president of Drexel University Online overseeing more than 125 online programs. During her six-year tenure as President of University of Maryland Global Campus (UMGC), she doubled the university’s enrollment to 97,000 – to become the largest public American university. She also served as Vice Chancellor for Troy University’s Global Campus managing online programs and satellite campuses in 12 countries and 17 states.

Alan Greenberg

Alan Greenberg

Previously Director Apple Education EMEA and APAC, Alan led the team that built Education Podcasting and iTunes U. He has worked on the development of Apple Education mobile strategy, iOS Education APPs, and developed the SEED CSR project in China, a collaboration between Apple, Foxconn, and Pearson. Executive Board of WideCells Group Plc, Group CBDO, and EVP & Founder of Wideacademy; his working contributions include multiple technology engagements providing domain expertise across digital, mobile, brand, scale-up, international business development, and venture capital.

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