EFFECTIVE INTELLIGENCE®

Financial Clearance Automation

Clear every patient ahead of time, every time, and avoid COB denials

Increase zero touch rate, reduce back office burden, and reach $0 balance quickly

You can prevent most common denials, rejections and write-offs during the scheduling and pre-registration process in advance of the appointment.

Taking a few minutes at the time of scheduling to verify the patient’s information saves hours of headaches on the backend once the claim is in billing and collections. Unfortunately, many practices do not have a foolproof and consistent method for financial clearance.

Financial clearance workflow integrates with your existing PM and EHR system to automate checkpoints so nothing falls through the cracks:

Demographic verification

Estimate projected patient liability

Check referral and authorization requirements and secure if needed

Insurance and co-insurance verification

Insurance benefit coverage (COB)

Collect projected balance, prior balances, deposit or card on file

Successfully remove financial clearance roadblocks that result in denials

Boost your zero-touch resolution rate & reduce the back office burden

Front office patient financial clearance is responsible for over 50% of denials. When coordination of benefits and coding are done right the first time, back-office work effort is “zero” and Zero Touch Resolution Rate can be measured with Effective Intelligence.

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increase in zero touch rate

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increase in labor capacity

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decrease in denials

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pre-service patient collections

We are thrilled with the outcomes achieved with MedEvolve. Our leaders have tremendous confidence in the partnership. We look forward to expanding our work with the MedEvolve team to derive even greater value from data insights, which is key to our success as a growing business.

Heather Richards, Chief Financial Officer, Atlas Healthcare Partners

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decrease in COB denials

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increase in patient payments

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increase in point of service collections

"Our patient flow is so much smoother now because registration activity is no longer running into appointment times and creating bottlenecks. Patients are really excited to get that out of the way before they even come in. It creates more of a concierge experience for the patient when they enter the practice. Instead of dealing with all the tedious checks and balances needed to ensure business operations run smoothly, we can focus on making the patient feel welcome and at ease."

Theresa Hammack Office Manager, South County Urological

Financial Clearance Workflow Automation drives the work for you

Get Paid Up Front

You will have less work and cost in the back office of the revenue cycle to collect from both insurance and patients.

Prevent Common Denials

By eliminating errors on the front end, you mitigate the risk of common, avoidable denials (COB, Eligibility, Pre-cert etc.).

Improve Patient Satisfaction

Estimate patient responsibility and have an open conversation about cost before the appointment.

Effective Intelligence Technology

MedEvolve empowers healthcare organizations with award-winning Effective Intelligence (Ei) solutions. MedEvolve’s Ei solutions include workforce automation and intelligent analytics designed to optimize the entire revenue cycle process from financial clearance to medical billing. With our generative AI engine, these solutions can pin-point exactly where changes are happening in the revenue cycle, good or bad, and tell you why. We do this by tracking and measuring the human generated data – every touch your staff is making in the revenue cycle in the attempt to adjudicate claims.