Alloy

Overview

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 empowers users to effortlessly verify patient insurance eligibility and benefits across all payers through a single, powerful platform. Whether you need real-time verification, batch processing, or standalone insurance verification, Alloy offers solution for every situation and work flow.

Solving a Crucial Problem: Insurance Payment Delays and Denials

Did you know that over 20% of insurance payment delays and denials can be attributed to preventable
eligibility verification errors? Alloy is here to transform the process.

What Sets HealthNautica Apart:

Real-Time and Batch Processing: Choose between real-time and batch verification to suit your needs.
Integrated and Stand-Alone: Alloy can integrate with your existing systems or function as a stand-alone solution.
Fixed Monthly Price: Our fixed monthly fee includes unlimited enhanced eligibility transactions, making it cost-effective.
Registration Quality Manager Integration: Fully integrated with our Registration Quality Manager for enhanced data accuracy.
Standard and Custom Alerts: Receive registration alerts in real time, both standard and customizable.
Meaningful Reporting: Access a comprehensive set of reports to track your performance and results.
Real-Time Integration: We offer real-time integration with all major hospital EMR systems.

Registration Quality Manager

Our Registration Performance Manager is your solution for streamlining the Revenue Cycle and prevent denials and payment delays. Equipped with a custom set of event-based rules and alerts, ensuring seamless assignment of accounts to the right users.

Unlock the Power of Work List Filters:

Leverage advanced HL7 integration to create custom registrations and real-time updates for work queues. Say goodbye to manual tasks, and welcome automation to boost your efficiency.

Automated Data Validation:

Rest assured, all patient and guarantor addresses are automatically verified and validated. Additionally, our fully integrated insurance eligibility feature significantly reduces return mail.

Faster Revenue Collection: Reduce days in accounts receivable, billing rejections, and claim denials with improved accuracy and efficiency.
Automated Quality Assurance: Enjoy automated quality assurance for 100% of your registrations, ensuring consistent high quality.
Comprehensive Account Insights: Registration Performance Manager seamlessly syncs with all Alloy products, providing a single platform for a comprehensive view of account information.
Employee Satisfaction: Boost employee satisfaction by simplifying tasks and reducing training time for new employees.
Accountability and Performance: Create accountability for each registrar, allowing for accurate performance evaluation and constructive feedback.

Patient Payment Estimator

HealthNautica's Patient Payment Estimator (PPE) is your key to a quick, secure, and precise overview of a patient's estimated financial responsibility. Not only does it streamline point-of-service collections, but it also elevates patient satisfaction and boosts employee productivity. PPE allows hospital users to effortlessly retrieve and collect all previous outstanding balances, with all estimates stored for easy access.

Unlock the Power of PPE and Insurance Eligibility Verification:

When you integrate PPE with HealthNautica's Insurance Eligibility Verification tool, you gain access to co-pay, co-insurance, and remaining deductible information for insured patients. Self-pay and prompt pay discounts are automatically applied and calculated, simplifying the payment process. Additionally, PPE performs an automated evaluation of patient financial assistance qualifications, providing instant results for your team. You can then generate fully customizable patient responsibility statements to be printed and provided to the patient.

Your Path to Full Compliance:

At HealthNautica, we don’t just streamline your operations; we also ensure that your organization is fully compliant with Medicare Price Transparency requirements. We provide an online portal where patients can easily obtain accurate cost estimations.

Annual Machine-Readable File (MRF):

In addition to the online portal, we create your yearly Machine-Readable File (MRF) to meet regulatory requirements seamlessly.

Experience Compliance and Efficiency in One Solution:

Our commitment is to help you navigate complex regulations while improving patient experience.
HealthNautica is your partner in achieving both compliance and efficiency.

Key Benefits and Features:

Manage Patient Expectations: Keep your patients informed about their financial responsibility, enhancing transparency and trust.
Collect Outstanding Balances: Effortlessly collect outstanding balances from previous visits, ensuring financial stability for your practice.
Point of Service Collections: Facilitate hassle-free collections of co-pays, co-insurance, and deductibles at the point of service.
Real-Time Financial Assistance Verification: Verify patient financial assistance qualifications in real time with Self-Pay Manager, ensuring accurate assistance is provided.

Elevate the financial experience for both your organization and your patients with HealthNautica's Patient Payment Estimator. Experience increased efficiency and patient satisfaction like never before.

Insurance Discovery and
Financial Assistance Manager

Our Insurance discovery process is designed to automate Medicare, Medicaid, and commercial insurance verification for all self-pay registered patients. It doesn’t stop there – all self-pay accounts undergo a meticulous evaluation for financial assistance, aligning with hospital policy, and are screened for Medicaid qualification in accordance with state regulations.

Enhancing the Patient Financial Experience:

Our unique approach classifies true self-pay patients based on their propensity to pay. This information, combined with estimated monthly income and household size, empowers Hospital users with maximum monthly payment recommendations.

The Power of the Medicaid and Financial Assistance Wizard:

Our Medicaid and financial assistance wizard is a game-changer, streamlining the application process, reducing errors, and expediting the patient financial assistance journey.
Unlock Efficiency and Financial Benefits:
Experience an instant reduction in accounts receivable (A/R) days and the number of self-pay accounts.
Improve and standardize Medicaid application and financial assistance processes.
Harness the power of the propensity for payment scoring model to enhance payment forecasting.
Access a range of standard and custom reports, along with real-time dashboards, to track all activities related to self-pay patients.