Payer Alerts
Automated, immediate notification of payer policy and procedure changes
Client Video: Arkansas Health Group
John Neumeier from Arkansas Health Group shares his experience using Experian Health solutions. Products used: Contract Manager and Payer Alerts.
Shifting affiliations, mergers and acquisitions, payer mix and new products have increased the pace of change in recent years. Keeping up is a challenge.
Healthcare organizations that don’t stay current on payer policy and procedure changes risk payment delays and lost revenue. Payer Alerts is a simple and convenient way to monitor modifications while minimizing their impact on the bottom line. Available through Experian Health’s online portal and a daily email digest, timely alerts provide immediate access to changes posted on more than 60,000 web pages by more than 550 payers.
Client Success Story:
New York-based University Physicians Network (UPN) and West Virginia University Healthcare
Get specialty-specific insight
Alerts are offered in four different categories—administrative, clinical, reimbursement and pharmacy. Designed to be read in a matter of seconds, each delivers an overview of the latest change so you can quickly make adjustments, without bogging down staff or impeding workflow.
Streamline operations
Easily sort, filter and search for alerts pertinent to your organization and identify payment trends by code, date or specialty. Further drive efficiency by delivering targeted information to appropriate staff members.
Negotiate more favorable terms
When combined with Experian Health’s Contract Manager and Contract Analysis solutions, Payer Alerts help providers better prepare for contract negotiations. You’re able to determine the financial impact of a proposed or historical policy change dictated by a payer, and negotiate accordingly.
Contract Manager and Contract Analysis
Audit payer contract performance to assure compliance—and maximize revenue.
Patient Estimates
User-friendly, web-based pricing transparency tool for hospitals, medical facilities and physicians that creates accurate estimates of authorized services for patients before or at the point-of-service.
Eligibility Verification
Simplifiy insurance verification using search optimization functionality and data enrichment intelligence.
Greg Young, Senior Director Marketing, and J.Scott Milne, Senior Director Product Management, discuss the increased importance of staying up-to-date on payer requirements and telehealth reimbursements.