Healthcare Solutions
ClearIQ Patient Payment Estimation
Get credible patient payment estimates for
medical services at or before the point of
service.
ClearIQ Patient Payment Estimation is a contracts-based
estimation engine with the ability to produce individual or
combined technical and professional estimates. Patient Payment
Estimation analyzes the provider’s negotiated contractual
reimbursements; the historical procedural information along
with the charge description master information; and patientspecific, year-to-date benefit data to arrive at the most credibly
defensible estimate of the patient’s out-of-pocket financial
responsibility prior to the procedure.
Using ClearCode Auto Add technology—a unique feature that
automatically adds any other related procedure codes that have
been done in conjunction with each other—Patient Payment
Estimation ensures that codes normally performed together are
always included, resulting in a better patient payment estimate.
With ClearIQ Patient Payment Estimation, you can:
→→ Increase price transparency
→→ Increase point-of-service collections
→→ Improve patient satisfaction
→→ Improve workflow efficiency with Touchless Estimation, a
unique feature that automates the process of generating an
estimate
“Patient Payment
Estimation has given my
team the confidence to
ask for patient payments
up front. My staff
trusts the estimates
we’re generating on the
front-end and patients
are receptive to the
information we’re giving
them. Now that this trust
has been established,
collecting payments up
front is much easier today
than before the automated
system was put into
place. Since implementing
Patient Payment
Estimation, we’ve been
able to increase pointof-service collections by
50%.”
- Michelle Paoletti
Patient Access Manager,
Saint Alphonsus Medical
Center
* HFMA staff and volunteers
determined that this product
met specific criteria developed
under the HFMA Peer Review
Process.
does not
endorsethat
or guarantee
the
* HFMA
staff HFMA
and volunteers
determined
TransUnion ID
and
Verification,
useAddress
of these
products.Insurance Eligibility, Ability-to-Pay
Determination and Patient Payment Estimation (ClearQuote)
have met specific criteria developed under the HFMA Peer
Review Process. HFMA does not endorse or guarantee the
How ClearIQ Patient Payment Estimation works:
→→ Step 1: Patient
demographic and service
information is autopopulated within ClearIQ
via a standard HL7 feed.
→→ Step 2: Procedure and
diagnosis codes are added.
→→ Step 3: Patient Payment
Estimation aggregates
patient procedure and
benefit information and
generates an estimate of
the patient’s out-of-pocket
responsibility for review.
→→ Step 4: A printable,
customizable letter is
presented to the patient.
The letter contains the
patient’s demographic,
procedure, benefit and
payment information,
which can combine facility
and clinic estimates or be
broken out by facility.
The first HFMA peerreviewed solution of its
kind, ClearIQ Patient
Payment Estimation is able
to generate many types
of estimates, including
pre-inpatient, outpatient,
ambulatory surgical center
and professional fees.
ClearIQ Patient Payment Estimation produces a credible estimate that clearly indicates
what the patient owes for medical services.
learn more
Find out more about
Patient Payment
Estimation. Call
888-791-3088 or visit
transunionhealthcare.com
today.
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