No Surprises Act/Good Faith Estimates
Comprehensive solution to automate and streamline Good Faith Estimates
The Elevate Patient Financial Solutions No Surprises Act compliance pricing solution provides you and your patients with customizable and personalized out-of-pocket costs and pricing for specific medical services and items including:
- Good Faith Estimates (GFE) for self-pay, uninsured, or patients who choose not to have their insurance billed.
- Healthcare Price Transparency (HPT) for contracted in-network payer plans, including public disclosure of rates through machine-readable files (MRFs).
- Out-of-Network Advanced Explanation of Benefits (AEOB) that will be required soon.
We work all accounts specified by the provider at an agreed-upon frequency. Our team immediately begins identifying reasons for claim denial or rejection and following up to obtain documentation for billing or re-billing. We track Medicaid, Medicare, and commercial health insurance coverage and billing deadlines, and all claims are prioritized according to timely filing deadlines, write-offs, patient transfers, and potential for collecting.
As a value-added service, our proprietary screening software scrubs all accounts with no identified health insurance coverage against commercial and government payer databases to locate coverage that may have been available at the time of service. When coverage is identified, we then bill the appropriate payer or Medicaid program and collect on behalf of the hospital.
The Elevated Difference
Streamlined good faith estimate compliance process to provide patients with their expected out-of-pocket expenses. Includes both hospital and physician estimates and can send automated estimates via mail, email, or phone.
Our expert pricing and compliance team has decades of experience in managed care and payer reimbursement strategies, working for both hospital and physician business offices.
Powerful Pricing Technology
Our powerful cloud pricing technology manages the entire GFE compliance process and features an intuitive, easy-to-use interface.
A Partner You Can Trust
for Unmatched Results.
ElevatePFS delivers outstanding results. With more than 1,500 client facilities and a 98% client retention rate, we’re a proven partner that you can count on.