Get credible patient payment estimates for medical services

The TransUnion Healthcare Patient Payment Estimation solution analyzes historical charges, payer contract terms, and patient benefit levels to predict what patients are likely to owe for services provided.


Benefits of Patient Payment Estimation:
  • Increase price transparency
  • Increase point-of-service collections
  • Improve patient satisfaction
  • Increase practice management efficiency
  • Reduce days in accounts receivable

Integrate Patient Payment Estimation with other TransUnion Healthcare solutions like Insurance Eligibility and Patient Financial Summary to improve your point of service processes

Step 1

Patient demographic and service information is collected or auto-populated from the registration system.

Step 2

Procedure and diagnosis codes are collected.

Step 3

Patient insurance eligibility and benefit levels are verified. Benefit information can be transmitted automatically via a direct EDI interface or manually entered.

Step 4

Based on the information entered in the first three steps, an estimate is generated for review.

Step 5

A printable, customizable letter with your practice’s logo and contact information is printed and saved for easy future access. 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.

Easily integrate TransUnion Healthcare Patient Payment Estimation into your existing pre-service processes.

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Category Leader
Patient Access - Patient Bill Estimation
2012 | 2013 Best in KLAS Software and Services Report

*HFMA staff and volunteers determined that this solution has met specific criteria developed under the HFMA Peer Review Process. HFMA does not endorse or guaranty the use of these products.