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AVIA Marketplace is the leading online resource for unbiased information about digital health companies and solutions. Healthcare leaders can access thousands of vendor profiles, refine by product category, solution type, and EHR integrations, see honest ratings and reviews, and generate Match Scores to find vendors with experience serving similar organizations. AVIA Marketplace simplifies the vendor selection process and provides critical additional transparency, helping hospitals and health systems leverage each other’s experiences to make better decisions together.
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About digital patient billing and payment
Patient billing and payment is the ability of individual patients to access their billing information, understand their coverage and financial responsibility, and complete payment.
Out-of-pocket costs for patients are rising, and health systems have seen corresponding increases in bad debt and administrative costs related to collections. On average, providers only collect about 40 percent of outstanding patient balances. As the proportion of revenue attributable to patients continues to grow, effective management of patient receivables is essential to protect health system margins.
Digital patient payment and billing solutions can improve patient financial engagement with greater visibility into their financial obligations, streamlined billing information, and flexible payment capabilities. Health systems that successfully implement digital patient billing and payment solutions can drive liquidation of patient balances and help create and support positive margins for health systems. AVIA Marketplace estimates that each percentage point of lift in digital payments translates into approximately $2 million in net collections.
What many of the leading solutions offer:
- Self-service out-of-pocket cost estimators
- Digital statements
- Statement consolidation
- EOB reconciliation
- Flexible payment options
Introduction to the report
The Top Patient Billing and Payment Companies Report is a resource designed to guide healthcare professionals in their quest for exceptional operational and customer oriented solutions. This report offers perspective on prominent provider documentation companies as reflected in the client reviews gathered on AVIA Marketplace and presents a selection of leading-edge solutions and companies.
This report is organized around client reviews that provide insight into the impact these solutions have had with the organizations they work with and include concise summaries that could assist in pinpointing solutions tailored to your unique needs. Our AVIA Marketplace serves as an additional resource, facilitating access to detailed company profiles, verified client lists, comparison of various solutions, and Match Scores to streamline your selection process. For even greater depth, AVIA experts are available through a Marketplace Product Review (for digital health solutions) and AVIA Membership (for hospitals and health systems). Ready to learn more? Send us a note!
Our methodology
The data that powers this report stems directly from the AVIA Marketplace, informed by reviews and by the number of verified health system clients associated with each company featured in the marketplace. In observance of confidentiality agreements, the complete client lists may not always be available from vendors.
Please note that the data presented is dynamic and subject to change over time. Therefore, we advise that decisions drawn from this information should be made judiciously, backed by thorough consideration.
AVIA's perspective and report limitations
Please note that this information does not reflect the opinions or views of AVIA as a whole, or AVIA Advisory Services. Rather, it reflects data captured on AVIA Marketplace at a point in time. This data is subject to change over time.
We at AVIA acknowledge the diverse strategies hospitals employ when selecting technologies. The reviews herein can offer valuable insight, but we also encourage considering other factors, like EMR integration, experience with clients similar to your organization, or overall market presence, which may prove pivotal in decision-making. We endeavor to provide a comprehensive analysis on these other aspects as well.
Our unique Product Grid, powered by our proprietary Match Score, is a useful tool to consider in your evaluation process. This methodology ensures that the products featured not only meet the buyer’s specific requirements but also exhibit solid market establishment.
Top-rated patient billing and payment companies
The top-rated patient billing and payment companies were the most-reviewed within their product category. Companies in this section have all received the “Top-reviewed” recognition and the order does not indicate a ranking.
5.0
Flywire is a global payments-enablement and software company, trusted by organizations around the world to deliver on their customers’ most important moments. Our responsive billing and payments platform leverages deep analytics and machine learning to understand your patients capacity to pay, their preferred method of engagement, and where on their healthcare journey we need to meet them. We’re delivering on your patients most important payments and maximizing collections for you and financial peace for your patients.
5.0
Make your operations more efficient: With Passport Authorizations, inquiries take place without user intervention, as does status monitoring. Submissions guide staff through the workflow, auto-filling all information Experian Health has received and prompting users only if their involvement is required. Access the industry’s most complete payer database: Experian Health’s pre-authorization knowledge base stores and dynamically updates payer prior authorization requirements. Your staff can check whether prior authorization is required for a particular procedure or service, and the knowledge base automatically responds to queries with information needed.
5.0
Waystar delivers innovative technology that simplifies and unifies healthcare payments. The company’s cloud-based platform helps healthcare providers across all care settings streamline workflows, improve financial performance and bring more transparency to the patient financial experience. Waystar solutions have been named Best in KLAS or Category Leader by KLAS Research 16 times (across multiple product categories) and earned multiple #1 rankings from Black Book. The Waystar platform is used by more than half a million providers, 1,000 health systems and hospitals, and 5,000 payers and health plans—and integrates with all major hospital information and practice management systems. On an annual basis, Waystar’s AI-powered solutions process $5B in patient payments, generate $4B in out-of-pocket estimates and process claims representing approximately 40% of the U.S. patient population.
5.0
Cedar offers the first and only holistic solution that enables providers and payers to come together to offer an exceptional and affordable consumer financial healthcare experience. We’re reimagining the consumer aspects of healthcare, from the time an appointment is booked all the way to final payment. Only Cedar can take advantage of critical payer information and bring it together with provider financial and administrative processes to create the optimal experience for consumers navigating our challenging healthcare system.
5.0
R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience.
More patient billing and payment companies
Companies in this section did not have any reviews on AVIA Marketplace at the time of publishing. However, based on the number of verified clients we were able to gather, we include them here as other interoperability companies to consider. They are listed in alphabetical order.
Abax Health
Abax’s AI and ML powered analytics platform called Clarity, mines the clinical record for leaked revenue/referral improvement opportunities. Clarity identifies the leaked revenue/referrals and quantifies themby applying a fee schedule x`to exhibit revenue leakage improvement (show revenue capture) opportunities. ClarityAccess support services are designed to provide Patient Access departments with the supplemental support they need to meet the growing staffing and quality needs of their patients. ClarityAccess services are designed to serve as an extension of your current Patient Access Department.
Big Data Healthcare
Big Data Healthcare provides automated ERA/EFT reconciliation, EOB conversion, and cash-posting solutions to healthcare providers. Many healthcare providers perform these tasks manually, which requires significant time and money. Automating these process frees up resources to work on other essential tasks.
Bridge Patient Portal
Reduce bad debt, get paid faster, and provide patients with the convenience they demand. Bridge features advanced online bill pay and financial management tools with deep integration into many of the industry's leading Revenue Cycle Management (RCM) systems. Advanced integrations with the RCM system and payment gateway allows patients to view their entire financial picture and pay their bill online in a PCI-compliant manner.
CampTek Software
CampTek Software is a Full-Life-Cycle RPA SaaS Provider with proven results implementing and supporting automation solutions through our successful methodology. Our unique hosted model offers many powerful advantages including a shorter time to market, 24/7 support and overall lower cost of entry. Our approach is simple and repeatable. CampTek will be with you on every step of your RPA Journey!
CarePayment
Our program engages patients throughout their healthcare financial journey, not just when they ask you for help. Components of our comprehensive solution include: Patient Choice (Opt-In), Patient Assign (only Auto-Assign program in industry), Payment Plan and Aged A/R Conversions.
Change Healthcare
Change Healthcare is inspiring a better healthcare system. We are a leading independent healthcare company that provides data and analytics-driven solutions to improve clinical, financial and patient engagement outcomes in the U.S. healthcare system. Our comprehensive suite of software, analytics, technology-enabled services and network solutions take costs out of the healthcare system by driving improved results in the complex workflows of payers and providers by enhancing clinical decision-making and simplifying billing, collection and payment processes, and enabling a better patient experience. We are creating a stronger and more efficient healthcare system that enables better patient care, choice, and outcomes at scale.
ClaraPrice
ClaraPrice enables Hospitals to automate Price Transparency compliance with a system application that attaches directly to their existing EHR software (Epic, Cerner, Meditech, etc). The solution analyzes payment and Revenue Cycle data to make intelligent decisions about service pricing and publishes their pricing online in a manner that is compliant with all components of the legislative requirements. The software also acts as the monitoring mechanism required by CMS to attest to compliance.
ClearBalance
ClearBalance is committed to helping people afford the care they need to lead healthy, happy lives. The healthcare industry will continue to evolve. So they must think, act and lead differently if they are to provide their clients and patients with loan programs that make sense. At all times they will act in an honest, fair and compassionate manner.
ConvergeHEALTH
We create new digital ecosystems to shape the future of health. Businesses and stakeholders across the health care ecosystem—from health plans and biopharma, to government agencies and health care providers, to start ups and tech giants—are all building the future of health. ConvergeHEALTH is committed to delivering solutions that enable these organizations to put patients at the center of health care. ConvergeHEALTH creates new health ecosystems to enable the future of health by combining next generation platforms, deep industry experience and novel collaboration models. We move with the agility of a health startup, backed by the global reach of Deloitte to design and offer platforms and services that empower the shift to value-based personalized health care. We do this by creating digitally connected ecosystems comprised of analytics platforms, industry partnerships, and world-class consulting services, all with the unified vision of putting patients at the center of health care.
Everyware
Everyware offers simple billing solutions for organizations in a wide variety of industries. Get paid and get paid fast. Everyware is the most straightforward Pay by Text platform. It’s easy to get started, scalable across all platforms, and works alongside your existing system with easy integration.
FinClear
FinClear allows healthcare providers to financially clear patients in minutes. We offer the first digital ability-to-pay solution designed for the healthcare industry. Consumers can securely connect and share information from over 15,000 banking and financial institutions, and providers receive a report with the exact information they need to make an informed decision: income, identity, expense, Medicaid eligibility and more.
FinThrive
Imagine healthcare revenue management without limits. Revenue management done right is a transformative force in healthcare. It can move your organization from playing catch-up to building a future resilient to change. FinThrive offers hospitals and health systems smarter, smoother revenue management. Our technology converts data into powerful action, decisions, and predictions with AI, machine learning and analytics—freeing the teams you trust to focus on making a difference.
Health Payment Systems
PayMedix is our proven payment solution for all in-network allowed charges. All patients regardless of individual credit rating, receive the financial security of guaranteed credit, up to their out-of-pocket maximum. And providers are guaranteed up-front payment.
HealthiPASS
Health iPASS gets your practice paid and streamlines the patient payment and intake journey from pre-arrival to final payment. With Health iPASS, your practice can deliver better engagement for your patients and streamlined workflows for your practice staff.
InstaMed
Your Patients All Want the Same Thing – in Uniquely Different Ways What patients want and how patients want it are not the same. 82% of consumers want to make all of their healthcare payments in one place1. However, that “same place” is not the same for every patient. Create a user-friendly healthcare payments experience that guides patients along unique journeys that lead to the same end goal: getting you paid.
Jopari Solutions
Since 2003 Jopari has spearheaded insurance industry efforts to eliminate paper and frictional costs from medical claim transactions. Today, their team offers unrivaled expertise in customer-centric, compliance ready digital solutions for: medical claim submission, delivery and workflow; payment and remittance processing; Attachment exchange; and status communications. All supported by intelligent portal based tracking, search, archive and audit capabilities. Their best-of-breed electronification platform builds ROI quickly by cost-effectively modernizing end-to-end medical claim processing. Lower loss adjustment expense for Payers. Improved revenue cycle performance for Providers. Higher service levels for all.
Loyale Healthcare
Loyale Healthcare, launched in 2016, is the culmination of their experiences with consumers, patients and providers. Their suite of solutions powers more successful financial relationships between providers and their patients. The result? Patients pay more, pay sooner and have a better overall care experience. Loyale Patient Financial Manager™(PFM) is an interoperable end-to-end patient financial engagement platform for enterprise applications. PFM delivers robust pre-procedure functionality and deep analytical capabilities throughout the patient revenue cycle. Loyale’s most complete and powerful solution.
Luma Health
Luma was founded on the idea that healthcare should work better for all patients. Instead of a disconnected experience, where patients are forced to be their own healthcare advocates and provider teams struggle to reach their patients, every point along the care journey should be simple, seamless, and effective. Luma’s Patient Success Platform™ empowers patients and providers to be successful by connecting and orchestrating all the steps in the patient journey, along with all the operational workflows and processes in the healthcare ecosystem. Headquartered in San Francisco, Luma serves more than 650 health systems, integrated delivery networks, federally qualified health centers, specialty networks, and clinics across the United States, and today orchestrates the care journeys of more than 35 million patients.
MAPay
MAPay is a global healthcare technology firm that has deployed a transformational payment network with an expanding customer base, positive patenting positions and multiple industry stakeholder acceptance. MAPay utilizes a hybrid architecture of both centralized and decentralized protocols for multi-party medical payments and HIPAA-compliant data exchange.
MedAssist
MedAssist’s mission is to leverage next-generation cloud-based technology, operational excellence, and performance capabilities while treating patients with dignity, compassion, and respect to improve providers’ net patient revenue.
MedData
MedData has been a tenured and trusted healthcare revenue cycle management services provider for more than 40 years, delivering technology-enabled and patient-focused RCM solutions, including Eligibility & Disability, Accounts Receivable Services (ARS), Injury Accounts (Workers’ Comp, Auto, etc.), Veterans Administration, Patient Responsibility/Early Out, COB Denials, and Out-of-State Eligibility. MedData has patient advocates from coast to coast and experience with hospitals and health systems of all types – large to small, rural to urban, nonprofit to for-profit – giving the company a nationwide presence with a local feel that’s scalable to any volume. Click the "Files" tab for downloadable content with more information about our organization.
PatientBond
PatientBond’s cloud-based, digital health platform automates patient engagement and care coordination with two-way communications, response tracking and real-time adjustment & optimization. PatientBond offers solutions to tackle many business and clinical challenges, including Healthcare Consumer Awareness/Marketing, Pre Visit, Point of Care, Patient Loyalty and Patient Collections for Health Systems, Physician Practices, Urgent Care Centers and Payers. PatientBond personalizes communications based on patients’ motivations and channel preferences using a proprietary psychographic segmentation model developed by healthcare consumer experts from P&G, the worldwide leader in consumer products and advertising. PatientBond enables you to activate desired patient behaviors to increase revenue and volume while ensuring cost avoidance and savings.
Paytient
Paytient is on a mission to remove cost as a barrier to care. Sold to employers, Paytient enables employees to pay any medical, dental, vision or veterinary expense over time via interest-free, HSA or payroll-deducted payment plans.
Relatient
Relatient is the #1 KLAS rated Patient Outreach vendor. A SaaS-based, patient-centered engagement company that automates patient outreach for healthcare organizations looking to improve operational efficiency, reduce no-shows, modernize patient payments and scheduling, and drive better compliance. In 2019, Relatient sent over 132 million messages on behalf of U.S. medical practices and health systems. Relatient integrates with practice management and electronic health databases to deliver timely, relevant, and compliant messages to patients wherever they are. Relatient’s platform automates the ABCs of patient outreach: Administrative, Billing, and Clinical health campaigns. From getting patients to their appointment, getting providers paid, and bringing patients back in at the right time.
RevSpring
Only RevSpring has a proven, data-driven approach to patient engagement and payment that offers the right type of communication to the right person at the perfect moment.
Sift Healthcare
Sift Healthcare provides intelligent and accessible solutions for provider systems that need to extract meaning and value from their vast stores of payments data. Sift organizes and normalizes all of your payments data in one location, providing a holistic view of collections. Our denials and patient collection dashboards, payer scorecards, propensity to pay tools, market intelligence reports and enriched patient profiles enable revenue cycle teams to optimize workflows and accelerate cash flow.
SwervePay
SwervePay, LLC. develops payment solutions for the healthcare and auto service industries. The company’s products include a patient payment platform that integrates into an EHR in real time and allows patients payments with no app to download or portal to log into; and a solution named “SwervePay Auto” designed to streamline the payment cycle from start to finish in the auto service industry. Some of the features of the company’s systems include VPOS, Quickbooks integration, tokenization, e-invoicing, payment plans, RESTful API, mobile payments platform, and custom software integrations. SwervePay, LLC. was co-founded by Brad Bialas and Jaeme Adams in 2010 and is based in Chicago, Illinois.
Verustat
Verustat offers a remote patient monitoring platform that is a pathway to better health for providers’ patients. Verustat manages patient’s physiological data at home, which offers patients accurate care and adds profit to the provider’s bottom line, without unnecessary extra work for their staff. Verustat monitors patients so they stay healthy, while bringing more revenue to physician practices and hospitals. Verustat also offers a customizable single-source Decentralized Clinical Trials (DCT) support.
VisitPay
The new healthcare economy is here. And succeeding in this new economy requires a shift in the financial relationship between health systems and patients. VisitPay helps you make that shift by giving you the power to manage your financial relationships better than a bank—so you can focus on what you do best: providing exceptional patient care. The VisitPay platform can integrate with multiple billing systems simultaneously to present bills and payment options that make it remarkably easy for patients to understand, verify and pay.
WellStack
WellStack offers healthcare organizations a modern, out-of-the-box data ecosystem that creates a single source of truth necessary for enterprise-wide decision-making. With a low-code/no-code approach, WellStack democratizes healthcare data and accelerates analytics by providing multi-channel data access to decision-makers, analysts, and researchers with varying technical skills. This strategy helps organizations maximize resource utilization by simplifying report development and analysis, resulting in a jumpstart on their data science journey with the flexibility to innovate and scale to meet future demands.
Yosi Health
Yosi is a digital front door solutions for healthcare providers. Unlike traditional kiosks and tablets, Yosi removes patient registration from waiting room with its pre-arrival, mobile friendly intake system.
Zenig
Zenig designs and develops software for healthcare providers to optimize the patient journey in hospitals, clinics, and physician practices. Our innovative solutions improve patient loyalty through faster check-in and reduced wait times, improve operational efficiency by identifying bottlenecks for improvement, and increase staff productivity by providing visibility of patient journey status.
Find your new patient billing and payment solution.
Out-of-pocket costs for consumers are growing at a rapid rate, which leads to a corresponding increase in financial risk for health systems. Intelligent digital patient billing and payment solutions inform and engage patients throughout their care journeys with better information about their insurance coverage, cost transparency before care is delivered, and convenient, flexible payment options. Health systems can more accurately predict which patients will pay and direct their resources appropriately.
Visit AVIA Marketplace to explore the companies listed in this report and thousands of other digital health companies and solutions. You’ll find verified client lists, use cases, differentiators, and more to help you streamline the vendor selection process and identify companies that can fulfill the unique needs of your health system.
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