Patient Payment at the Time of Service Is Often Incorrect.

Here's Why:

A Hospital Estimates the Patient Out-of-Pocket Responsibility Based on the 1) Insurance Plan Design and 2) the Insurance Accumulator.

The Insurance Accumulator Tracks Healthcare Provider Bills for Each Plan Member and Adds Up the Patient Payment Responsibility Against Their Deductible and Out-of-Pocket Max.

Problem: The Accumulator is Often Wrong Because Previously Seen Doctors, Labs, Imaging Centers or Hospitals Have Not Submitted Their Bills Yet to the Insurance Company. Therefore, the Member is 'Further Along' on their Accumulator Than It 'Looks.'

As a Result, the Hospital OVER-ESTIMATES the Out-of-Pocket Cost of the Patient at the Time of Service.

Watch the Video to Learn How to Prevent This Problem.

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