Eligibility & Enrollment Services

Verify eligibility in real time, reduce uncompensated care

Maximize reimbursement, increase cash flow and reduce bad debt

Full-service digitally enabled revenue cycle solutions

Connect with your underinsured and uninsured patients both – before and at the point of care to – increase front end efficiency and patient cooperation. Tap into our eligibility and enrolment services on the cloud, powered by intelligent workflow, automation and machine learning, to integrate real-time enrollment and eligibility verification into your workflow.

Identify and verify commercial insurance

Confirm and check for Medicaid eligibility

Identify patients with Medicaid qualifiers

Determine patient status in real time

Gather patient eligibility documents via mobile app

Eligibility & Enrollment Solution on Cloud

Our Eligibility and Enrolment services are now cloud enabled to help you across four key steps of engaging with patients when it comes to their insurance coverage. Explore further by clicking the tiles.

Insurance Discovery

Combine innovative technology with the human touch to explore every coverage option and Payer source for patients.

Financial Assistance Screening

Help uninsured and underinsured navigate government and charity programs. Simplify and accelerate the financial assistance process with digitized screening.

Finance Assistance Enrollment

Identify and support patients through digitally enabled financial assistance screening and enrollment processes to achieve higher conversion rates.

Digital Document Submission

Accelerate outreach and electronically gather supporting documentation to fast-track processing.

Outcomes delivered

Lower
uncompensated
care costs

Reduced
self – pay

Reduced
bad debt

Increased
net return

Mt. Carmel health achieves significant ROI within 3 years of deploying digitally enabled Eligibility & Enrollment Services

The impact of patient financial experience on hospital profitability

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