Third-Party Eligibility & Enrollment
EligibilityOne™ specializes in self-pay/uninsured patient eligibility screening and enrollment services. With a mission to reduce uncompensated care, our dedicated on-site Eligibility Advocates, powered by Advocatorᴬᴵ, ensure real-time scrubbing and eligibility screening for a seamless and efficient healthcare experience.
ELITE PATIENT ELIGIBILITY ASSISTANCE & VERIFICATION
Setting the Standard in Healthcare Excellence
Our patient eligibility and enrollment services are designed to optimize revenue recovery and enhance the patient experience. Utilizing innovative screening and advocacy technology, we navigate the most effective coverage path for your patients in real time, scanning thousands of state, federal, and local programs. Our dedicated Eligibility Advocates are committed to delivering exceptional, compassionate advocacy, earning consistent high praise from both clients and patients. Here are some of the benefits of outsourcing your eligibility screening and patient enrollment to EligibilityOne™.
Expanded Onsite Coverage
Extensive Coverage of at Least 12 Hours a Day and 6 Days a Week
Emergency Department Staffing
Our Eligibility Advocates are Hired Locally
Patient Engagement
Face-to-Face Interactions with Patients
Automated Patient Outreach Messaging
Home Visits, Bedside Screening, and In-Field Advocacy
Higher Performance Standards
ALL Accounts are Worked Across EVERY Area (e.g., IP, OP, ED)
All Unlinked Accounts are Closed Within 30 Days
Patient First Technology
Our Patient Screening Tool: Advocatorᴬᴵ
Real-Time Coverage Discovery
Expansive Electronic Forms Library
Forms Automation
Expertly Trained Staff
Expertise in Pre/Retro Authorizations
Proficiency in DSH (Disproportionate Share Hospital) processes
In-depth Knowledge of 340(b) Compliance & Disability
Instant Transparency Reporting
Our Reporting Dashboard: EAPulse
Customized Client-Specific Reports with Account Alerts
Real-time Access to Account Status
WHAT MAKES ELIGIBILITYONE™ DIFFERENT?
Powerfully Accurate Eligibility Verification
Our patient screening tool, Advocatorᴬᴵ, allows you to automatically screen your patients for third-party payors & financial assistance.
STREAMLINE & AUTOMATE PROCESSES
✓ Pre-populate application forms
✓ Utilize business rules to identify best candidates for assistance programs
✓ Integrated, real-time presumptive scoring on the front end, upon request, & prior to bad debt
✓ Distributed workflow supporting internal staff, onsite vendors, & offsite/field associates
INCREASE PRODUCTIVITY & REVENUE
✓ Identify potential funding sources prior to date of service
✓ Ensure provider is payer of last resort by exhausting all other options first
✓ Segment and prioritize based on propensity to pay
✓ Facilitate and assist staff with follow-up and counseling discussions
✓ More effectively manage your self-pay and patient pay population
IMPROVE THE PATIENT EXPERIENCE
✓ Provide compassionate, supportive counseling to self-pay and under-insured patients
✓ Integrated calculators for defining household income and resources
✓ Improve patient advocacy with real-time updates & simultaneous pursuit of multiple programs
✓ Provides payment collection options based on each patient's situation
