PaymentAssurance


 

Eligibility Verification

HeW’s Eligibility and Benefit Verification solution enables clients and patients to understand benefit entitlements and financial responsibilities.  This solution enables clients to improve self-pay collections and improve account receivable days by preventing denied claims due to coverage gaps.  

HeW clients can validate patient eligibility prior to admission, or rendering services, through the following methods:

  • HeW's browser-based application provides access to benefit information and receives responses to electronic eligibility inquiries directly from health insurance carriers.
  • Batch eligibility verification is a custom solution enabling clients to submit a patient roster from their host system and receive updated eligibility information in a customized format prior to rendering services.
  • Custom interface eligibility verification interfaces with the clients host system to verify patient eligibility.

Click here to download a full brochure.


Patient ID & Address Verification

HeW understands our clients revenue cycles are dependent upon the patients that flow through their organizations. The HeW Patient ID & Address Verification solutions allow clients to verify patient demographics, including;

  • Name
  • Date of Birth
  • Social Security Number
  • Address

By cross-referencing patient demographic information with TransUnion, clients can identify information accuracy, displaying red flags and investigative warnings.  Consequently, this will reduce fraud and improve cash flow by correcting outdated information necessary for claims and patient statements.

Click here to download a full brochure.


Patient Financial Summary

HeW also partners with TransUnion to perform a soft-touch on the patient’s credit report to help assess the patient’s financial integrity.  Clients receive a comprehensive solution to enhance financial counseling and collection processes. As a result, clients experience reduced errors in self-reported information, increased self-pay collections and reduced bad debt.  

The HeW Patient Financial Summary enables informed decisions related to:

  • Identification Accuracy: Including name, date of birth, social security number and address.
  • Probability of Financial Aid: Determine a patient’s eligibility for local, state and federal financial assistance programs.
  • Likelihood of Collection: Review financial measures including; available credit, residual income, debt-to-income ratio and the percentage of federal poverty level.

Clients may choose to receive only the Identification Accuracy and/or the full Financial Assessment.

Click here to download a full brochure.


Patient Statement & Payment Innovation

HeW partners the following vendors to assist clients with their patient statement needs. They save you time, effort and money in printing, processing and mailing your patient statements within 24 hours of receiving your data file.

APEX
HeW has partnered with APEX to provide clients innovative statement design and online payment technology.  APEX is a technology-driven, statement processing company that specializes in statement design, electronic delivery and online payment technology, and full print and mail services. APEX services organizations across the nation with award winning technology solutions that simplify the billing process, speed up revenue cycle and improve customer satisfaction. With nearly 20 years of experience in the healthcare industry, APEX can offer your facility:

  • Viewing and archiving of mailed statements
  • Online payment for patients and in your business office
  • Securely email reprint requests
  • Decrease cost and increase collections with E-statements
  • HIPAA and SOC 2 compliant

To streamline the process, clients send their statement files to HeW, we convert them into the standard approved format and submit these to APEX.  Contact HeW or download a brochure for more information and experience the APEX advantage!

BILLFLASH
BillFlash offers HeW clients a discount on basic rates (Reseller ID: 80218).  To learn more about the benefits of using BillFlash, please visit their website at www.BillFlash.com.


Medical Necessity Verification

HeW clients can verify Medical Necessity prior to services being rendered, reducing risk of uncompensated services and confused patients.  The HeW system can be implemented using a convenient web interface, or via a custom interface with any provider system.

Features:

  • Verify medical necessity prior to rendering services

  • Print CMS approved ABN

Benefits:

  • Reduce uncompensated services

  • Improve self-pay collections

  • Increased patient satisfaction

Patient Impact:

  • Patients gain increased understanding of what their insurer may cover and their personal liability for services rendered

  • Ability to make decisions based on clarity and informed choices

  • Convenience and value placed on patient's time

  • Fewer payment rejections and errors increase patient satisfaction

  • Increased confidence in the provider contributes to patient loyalty and positive word of mouth.

Click here to download a full brochure.


Claim Status Verification

HeW’s claim status solution enables you to verify the status of a claim in the adjudication system with participating payers.  HeW supports the ANSI 276/277 transaction in real-time or batch mode.  This service enables clients to determine payment or denial decisions in a more efficient and timely fashion.