Popular Solutions
Emdeon Patient Responsibility Estimator®
As employers look to consumer-driven health plans (CDHPs) to help contain costs and encourage employees to take more responsibility in managing the cost of healthcare, payers face challenges with strained provider relations and network retention.
The Emdeon Patient Responsibility Estimator® is an innovative tool that improves payer-provider relationships by offering providers reliable, convenient, real-time estimates of patients' out-of-pocket responsibility. Helping providers collect or establish payment at the point-of-service improves member and provider satisfaction and helps payers achieve positive brand association.
The resulting enhanced provider experience helps payers protect their provider discounts and grow adoption of CDHPs while promoting cost transparency and patient healthcare accountability.
Robust eligibility and benefit data delivered through the Patient Responsibility Estimator in conjunction with the estimate reduces payers' administrative costs by offering providers more self-service functionality in determining patient coverage.
Want to improve your payer/provider relationships? Let the healthcare efficiency experts review your business and apply our knowledge to your bottom line.
Contact UsFeatures
- Reliable estimates of patient out-of-pocket responsibility, delivered via pre-care or point-of-service member benefit information, based on either:
- Paid claims data, contract rates and payer-specific benefits data
- Integration with a payer's existing estimation solutions
- Consumer-facing, printable and customizable price quote helps patients assess treatment costs and proactively manage their healthcare
- Offers a solution for payers who cannot support real-time claiming or need a complementary solution for claims that do not adjudicate in real-time
Benefits
- Reduces payers' administrative costs associated with provider telephone inquiries and pre-determination claims
- Improves providers' CDHP satisfaction levels by increasing patient collections and reducing bad debt
- Improves patients' satisfaction levels by providing price transparency and setting expectations on cost of care
- Reduces barriers to high deductible plan adoption
- Helps ensure network retention
- Builds positive brand association among employer groups and consumers
