PATIENT ELIGIBILITY + ENROLLMENT

EligibilityAdvocates specializes in self-pay / uninsured patient eligibility screening and enrollment services. Our services can reduce uncompensated care. We support patient advocacy and equip our advocates with technology to help them succeed. Our on-site patient advocates paired with AdvocatorAI facilitate real-time scrubbing and eligibility screening.

EXPANDED ON-SITE COVERAGE
Including ED Staffing

Hired locally

Up to 24 hours / 7 days a week*.

*based on peak analysis

INCREASED
Patient Engagement

Home visits, bedside and in-field advocacy.

Followed by patients preferred channel of communication, ie: text, email, letter

HIGHER PERFORMANCE
Standards

EVERY account is worked across all areas - Inpatient, Outpatient, ED - and unlinked accounts are closed within 30 days.

Our Process

Eligibility Process
We can also work behind your current eligibility vendor or in-house staff.

TECHNOLOGY-ENABLED
AdvocatorAI

Real-time coverage discovery and program screening

EXPERT STAFF
Fully Trained

Authorizations (pre and retro), DSH, 340(b), disability, and more

FULL TRANSPARENCY
In Real-Time

Client-specific reports with account alerts

Charity / Patient Responsibility

Patients are being asked to share the burden of increased healthcare costs through higher co-pays and larger deductibles. Patients often experience uncertainty, confusion, and frustration regarding health insurance and medical bills, and medical debt is a rising issue for many patients and families. By providing real-time financial assistance screening and on-site financial counseling, your facility can become an advocate for your patients.

Charity - Patient Responsibility
  • Identifying financial counseling prospects utilizing Patient Account Rank Order (PARO)
  • Finding alternative funding sources, such as charitable and government programs, for patient accounts
  • Managing, tracking, and streamlining the entire financial assistance process
  • Delivering plan code recommendations
  • Calculating charitable co-pay
  • Offering one-on-one patient financial education to help patients understand their financial responsibility
  • Cash Collections – ER Co-Pay / Prior Balance
EA Community Impact

Learn How We Have Helped Patients

Impacting Communities, One Patient At A Time

Read More

DISABILITY

Providing a Valuable Service to your Community

  • Screen your uninsured/self-pay patients for disability using our proprietary software AdvocatorAI
  • Appeals Level 3: Hearing before Administrative Law Judge (ALJ)
  • Advocates work closely with treating physician, will utilize medical history, and work history to build a case
  • Provide transportation to and from appointments for patients
  • Once disability is approved, the hospital may bill Medicaid or Medicare
  • Reduces re-admissions and boosts your DSH thresholds
disability application assistance

All our solutions are HIPAA-compliant and will adhere to your organization’s specific procedures and compliance standards.

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