Out of Pocket Management
Helps you manage patient cost-sharing more effectively across the full episode of care, improving reimbursement outcomes.
How It Works
Upfront Analysis
Send your claims file for Medicare or Commercial accounts. Receive notification of accounts that have already met the deductible and updated insurance demographics.
Real-Time Monitoring
Claims with unmet deductible and max out of pocket enter our real-time monitoring queue. Billing is strategically sequenced so higher-cost providers bill first, increasing the likelihood of payer reimbursement instead of shifting costs to the patient.
Notification to Bill
Once the patient deductible and max out of pocket has been satisfied, you are electronically notified to bill the claim to the Payer.
Results that move the needle.
Claims Breakdown
What % would I expect to hold?
What % would meet deductible?
Seamless Integration & Customization·Streamlined workflows via SFTP or API, with minimal interruption to your processes.