HealthNautica's Alloy Patient Access solutions optimize the Hospital Revenue Cycle by utilizing an operational intelligence platform that contains multiple powerful tools. Alloy integrates with your HIS through HL7, X12 and other protocols that empower hospitals to maximize reimbursements while minimizing and preventing a wide range of costly errors.
Alloy allows you to measure the effectiveness of various registration and collection methods to provide vital feedback to your staff and patients. This enables users to analyze and forecast more accurately, manage expectations and maximize revenue while minimizing errors, reimbursement delays and denials.
To learn more, view Executive Summary .
Insurance Eligibility
Alloy allows users to verify patient insurance eligibility and benefits for all payers on a single platform in real time or batch with customizable, built-in edits. More than 20% of insurance payment delays/denials are traced to preventable mistakes related to eligibility verification.
Most Healthcare providers charge a fee for every eligibility transaction they enter, but HealthNautica provides unlimited transactions for an extremely low monthly fee. The fully customizable and easy-to-read responses for governmental and commercial payers along with real time integration (with all major EMR systems) and batch/browser capabilities make HealthNautica the premier insurance verification company.
Salient Features and Key Benefits:
Registration Quality Manager
The Registration Performance Manager includes a custom set of event-based rules and alerts that assigns accounts to the appropriate user in the Revenue Cycle. Work list filters along with advanced HL7 integration allow for creation of custom registration and real time updating of work queues. All patient or guarantor addresses are automatically verified, validated and all insurance eligibility is fully integrated that reduces return mail.
Salient Features and Key Benefits:
Self-Pay and Financial Assistance Manager
The self-pay manager will automate Medicare, Medicaid and commercial insurance checking for all self-pay registered patients. All self-pay accounts are evaluated for financial assistance according to hospital policy and screened for Medicaid qualification according to state regulations. All true self-pay patients are classified by their propensity to pay and an estimated monthly income, household size as well as maximum monthly payment recommendations are provided to the Hospital users.