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by JDA eHealth Systems, Inc.

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Patient Responsibility Estimator

You are here: Home / Solutions / Revenue Intelligence Software / Patient Responsibility Estimator

Parathon’s Patient Responsibility Estimator is a cost analysis estimation tool used to determine the patient responsibility owed for health care services. An estimate is created based on direct real-time eligibility and benefits retrieved from Commercial and Medicare payers as well as billed charges from claims for those services, which are then re-priced through Parathon Payer Contract Management Re-Pricer Engine.

Additional features of PRE:

  • Ability to perform estimates for inpatient and outpatient services
  • Validate/view member’s insurance eligibility benefits
  • Account lookup for patients with previous encounters
  • Access to predefined templates cased on provider Criteria
  • Can include specific financial assistance policies including current pay discounts and payment plan options
  • Grady Health System

    Testimonials


    Grady Health System


    Sandra Johnson


    Former Vice President Revenue Cycle Management


    “We use the Emergency Department Triage services with Parathon. We have had a great experience working with them, they submit appeal letters and help us with our denials. In one year they have collected almost 1 million dollars for us. Their overturn rate has been 66 percent. Working with Parathon is definitely worth it. I have been very impressed by everything they have done for our organization.”


  • Honor Health

    Testimonials


    Honor Health


    Cameron Wilson


    Director Payor Contracts


    “Parathon has been great to work with. They are extremely flexible. We have many nuisance and challenging contracts and methodologies. We have been able to work quickly and efficiently to get our modeling set up accurately and to feel comfortable with the numbers we are producing. They are easy to get in touch with and always work with us to get the right answers. This is paramount to our relationship.”


  • NorthShore University HealthSystem

    Testimonials


    NorthShore University HealthSystem


    Kathleen Smith


    Director of Patient Financial Services



    “I really value the practices that Parathon has implemented. We use them for denials recovery and they had a lot of positive results on things that were well past timely filing. I continue to work with Parathon because I have found that they are a vendor I can trust, they give me optimal results and have effective communication.”


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