Avoid denials from the start
Optum360’s intelligent workflows and analytics streamline financial clearance and automate fragmented patient access activities. This helps reduce mid-stage errors, prevents avoidable denials and helps eliminate patient debt.
Optum® Intelligent EDI validates your patient’s insurance status and medical authorizations before receiving services. By combining payer eligibility with contractual allowable amounts, you get a reliable estimate of what the patient owes.
The opportunity to collect payments reduces significantly once patients leave the care environment. By putting patients at the center of the revenue cycle, providers can offer the pre-service authentication and price transparency that patients expect.
Leverage cost-of-care estimation insight
93% of patient estimates returned successfully
Access real-time cost-of-care estimation
Patient estimates returned in an average of four seconds
Accelerate cash flow
35% increase in cash collections
Improving quality while managing patient costs
How can providers create a seamless financial journey for patients? This article explores how a best-in-class patient financial journey can mitigate financial risks to the health system and improve the financial well-being receive everywhere else.
With our tools, providers can now deliver accurate cost estimates and upfront payment information. Patients feel fairly treated and providers see more predictable cash flow.