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Pre-Service Insurance Verification & Patient Propensity to Pay Scoring
Propensity to Pay
Determination of ability to pay and dollar limits through the assessment of CAN and US credit report
Verification of Third-Party Benefits
Validation of third-party healthcare coverage to include reimbursement limits and exclusions.
Patient Portal
Captures patient communication preferences and vital payment recovery information.
Hospital Claim Billing
Clean claim submissions in timely and payer required formats for quick processing.
Pre-Service Insurance Verification & Patient Propensity to Pay Scoring
Acting as an extension of the registration office, Sunbelt leverages an easy-to-use patient pre-bill portal to capture vital personal and patient billing information including international carrier, traveler insurance and self-pay preferences. This tech-enabled approach ensures clean claim submissions, minimizes denials and helps hospitals deliver a positive financial experience from the first interaction.
Secure, web-based patient submission process. :
Quick and simple patient referral form with limited effort on part of registratio staff.
Hospital specific patient brochure. :
Provided for distribution to referred patients explaining process and introducing Sunbelt.
Hospital lobby displayed QR code :
Hospital specific QR code for patients to access portal and provide vital information for processing
Global payer network :
Leverages deep payer network to know where and how claims should process.
Hospital staff registration training :
Comprehensive, onsite process training and provider payment education.
Description
Our solution verifies patient insurance benefits and coverage limits, identifies patient out of pocket cost, and delivers patient propensity to pay scoring within two hours of client request – 24/7/365 days a year.
Our approach proactively engages patients with personalized payment education and support throughout the entire claim adjudication process from the first interaction to the final payment.
Hospital bills for services are submitted to payers on the appropriate submission form and Sunbelt facilitates completion of any documentation required by payer to process the claim.
Sunbelt advocates for patients and the healthcare providers who serve them, navigating and negotiating on their behalf – therefore accelerating and maximizing payment.
Our approach proactively engages patients with personalized payment education and support throughout the entire claim adjudication process from the first interaction to the final payment.
Hospital bills for services are submitted to payers on the appropriate submission form and Sunbelt facilitates completion of any documentation required by payer to process the claim.
Sunbelt advocates for patients and the healthcare providers who serve them, navigating and negotiating on their behalf – therefore accelerating and maximizing payment.
