ELIGIBILITY

Patient-focused Medicaid Eligibility & Enrollment Services that deliver results.

Elevate Patient Financial Solutions® Medicaid Eligibility & Enrollment Services combine comprehensive eligibility screening and compassionate advocacy to enroll patients in available coverage programs to help pay for care. Our expert teams, proven processes, and specialized technology deliver a better patient experience and increased revenue recovery.

Why choose ElevatePFS® Eligibility & Enrollment Services?

  • Award-Winning Services: HFMA Peer Review accredited for more than 15 years, earned 2025 Best in KLAS for Eligibility and Enrollment, and named the top client-rated vendor for self-pay, charity care, Medicaid screening and eligibility enrollment services in the 2026 Black Book Research rankings.
  • Proven Partner: ElevatePFS® provides Eligibility & Enrollment Services for hospitals and health systems nationwide.
  • Unmatched Expertise & Technology: Our expert Patient Advocates screen patients using innovative technology to identify all potential coverage.

Increasing patient satisfaction.
Maximizing potential revenue.

With a spirit of compassion and doing the right thing in all situations, our team of advocates build upon the provider’s relationship with the patient to improve their overall experience while quickly resolving their medical bills. Our job is to focus on getting approval so they can focus on getting better.

The Elevated Difference

1

Expert Patient Advocacy:
Our on-site advocates focus on
exceptionalism and compassion to ensure
the patient comes first in every encounter.

2

Our Innovative Technology:
Our proprietary technology maximizes quality, efficiency, and measurable outcomes. It includes a predictive scoring model that leverages social determinants of health data with Medicaid outcome models to prioritize and optimize results, an omnichannel patient engagement strategy using the patient’s preferred mode of communication to expedite the application process, and an approval acceleration system that automatically coordinates required verifications and submission to agency, follow-up and quality assurance.

3

90% Application Approval:
We continually screen in real-time until a final diagnosis is reached.

4

2000+ Programs Screened:
Simultaneously screening programs
helps identify more payer sources if an
eligibility case falls through.

5

All Potential Payers Identified:
We scan multiple state and commercial databases for potential coverages on all self-pay patients or TPL cases without a secondary payer identified.

6

Reporting Insights That Drive Success:
See immediate results with a reporting
system that spots key trends, giving you
the power to make critical decisions.

Proven Success - Eligibility Resources

RCM Partner Delivers Proven Eligibility and Out-of-State Solutions with Value-Added Services, Beating the Competition

RCM Vendor Improves Health System’s Patient Eligibility and Enrollment across Multiple States, Surpasses Performance Goals

Health System Partners with RCM Vendor to Streamline Medicaid Program and Significantly Increase Reimbursements

Eligibility and Enrollment Services Result in Greater Reimbursement, Patient Retention, and Community Outreach for Behavioral Health Group

Best in KLAS Eligibility Vendor Outperforms Long-Term Competitor in Split Contract

Trusted RCM Vendor Delivers Comprehensive Eligibility and Self-Pay Solutions for Healthcare System

Despite COVID-19, Large Health System Successfully Expands Eligibility Service Across 11 Facilities

ElevatePFS Outperforms Competitor in Head-to-head Analysis

RCM Vendor Delivers 91% Conversion Rate and Strengthens 340B Savings for Healthcare Provider

Top Rated Eligibility Services Expert Delivers Exceptional Performance, Improves Patient Experience

A Partner You Can Trust
for Unmatched Results.

ElevatePFS® delivers outstanding results. With more than 2,500 client facilities and a 95% client retention rate, we’re a proven partner that you can count on.