Patient Responsibility Calculator

At the heart of the Revenue Maximizer is the Patient Responsibility Calculator. The Patient Responsibility Calculator provides real-time patient eligibility responses and calculates patient out-of-pocket balances based on their health plan design and your contracted health plan rates. Revenue Maximizer connects with over 400 national and regional payors to calculate the patient’s out-of-pocket balance. Then it generates a simple, easy-to-read statement to present to the patient.

Integrated with our Payment Processing System, you can easily collect patient amounts owed while the patient is still in your office, or schedule payments for larger balances owed. The Patient Responsibility Calculator displays such patient data as remaining deductibles, co-pays and coinsurance.

Benefits to your practice:

Reduces the need for balance billing
Improves cash flow and decreases receivables
Allows upfront patient collections
Facilitates payment of the growing consumer liability
Reduces patient bad debt
Integrates with existing workflows
Minimizes calls from patients and to payors, questioning payment outcomes,benefits and eligibility

Benefits to patients:

Reduces confusion and uncertainty about balance owed
Lets patient know out-of-pocket costs at time of service when payment options can be discussed
Increases level of satisfaction with provider

Screen Shot:

Determine patient responsibility at the point-of-care, to collect patient out-of-pocket cost.