ELIGIBILITY & ENROLLMENT
Eligibility Assistance
We partner with healthcare providers to reduce uncompensated care by engaging uninsured/underinsured and securing eligibility enrollment for Medicaid and other governmental assistance programs. Our streamlined enrollment process combines customized dynamic workflows with robust, leading-edge technology that ensures compliance and enhances reimbursement.
Our comprehensive eligibility verification provides real-time up-to-date patient insurance information and eligibility to ensure accurate billing and reduce claim denials. NYX Health enrollment and eligibility representatives assist patients through the enrollment process to ensure timely access to services and benefits.
Full-Service Enrollment Solution approach
Enrollment Process
We operate with a patient-friendly and customer service approach and are committed to high-quality, measurable results and service excellence.
We tailor our approach to each client’s workflow, financial counseling processes, and strategic goals. You can utilize our experienced advocates as an on-site or off-site extension of your team. All of our representatives are fully trained, with experience in the healthcare industry.
Backed By Technology
Our Medicaid eligibility technology translate to shorter processing times, heightened accuracy, and a stronger client return on investment.
Screening Tool
- Average screening rate 85%
- Screen self-pay patients for multiple-payer programs
- Process accounts more efficiently and successfully
- Educate the patient about their benefits
Patient Portal
- Securely streamline communication with patients
- Ability for patients to securely upload documents
- Patients receive messages & alerts through portal
- Patients receive text (SMS) message communications
Transparent Reporting
- Cloud-Based & Secure
- Standard KPIs
- Referrals
- Conversions
- Closed
- Screened
- Custom Hospital KPIs
Other Eligibility Services
Secondary Eligibility
We provide an experienced and dedicated team to support and improve conversions with your current eligibility practices whether they are in-house or with a primary vendor. Our services are non-intrusive to current processes.
Comprehensive Safety-Net
After all internal and external eligibility identification processes have been exhausted our customized processes fit your existing workflow with minimal lift required. We find coverage for the additional 10% - 15% missed by most processes in front of us.