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 MFocussm, our eligibility and enrollment solution powered by intelligent workflow, automation and machine learning, to integrate real time enrolment 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

Outcomes delivered

Lower
uncompensated
care costs

Reduced
self – pay

Reduced
bad debt

Increased
net return

MFocusSM

Patient cooperation can drop by 33% once they leave your facility*. Our automated screening tool MFocussm helps you collect and validate eligibility information in real time – regardless of whether they are inpatient, outpatient or Emergency – driving higher patient cooperation and revenues.

Mt. Carmel health achieves significant ROI within 3 years of deploying MFocusSM

MFocus℠​ is designed with both your patients and you in mind

MFocus℠ ensures your patients are aware of their financial responsibilities in a professional and friendly manner, while simultaneously converting otherwise lost dollars from self pay accounts to revenue.
The solution integrates both internal and external systems with mobile app based patient engagement strategies and skilled personnel. Real-time exchange and visibility of data underpinned by intelligent automation delivers efficiency and accuracy in communication and decision-making.

Explore insights

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5 Benefits Healthcare Providers Can Reap By Streamlining Denial Management Through Intelligent Automation

Firstsource Solutions Acquires PatientMatters

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