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Insurance Discovery

http://www.payorlogic.com/insurance-discovery

Find active insurance coverage. Higher deductibles, bigger patient co-pays and evolving Medicaid programs have created new sources of bad debt for healthcare providers. Financially clearing self-pay patients is more challenging and labor-intensive than ever before. Most important, earned revenue walks out the door every day when patients leave the office without paying and patient A/R is written off as bad debt. Identify active coverage for more than 10 percent of self-pay accounts. Payor Logic examines ...

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Self-Pay Analyzer

http://www.payorlogic.com/self-pay-analyzer

Conquer new self-pay obstacles. With healthcare’s massive influx of self-pay accounts, patient responsibility is at an all-time high. The typical family of four has seen a $12,000 increase in out-of-pocket medical expenses. High deductible health plans (HDHPs) abound and old processes for patient collections have become obsolete. Reduce agency contingency fees. Identify propensity to pay, hardship and probable Medicaid (retro eligibility). Our customers report less juggling of contractors and higher rate...

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Learning Center - payorlogic.com

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Welcome to the Payor Logic Learning Center. Sign up to gain full access to our news and articles.

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Hospitals

http://www.payorlogic.com/hospitals

Hospitals face a dramatic shift in the payor landscape and self-pay accounts. The Affordable Care Act’s impact on Medicaid expansion has effectively reduced the number of uninsured admissions and uncompensated care. But conversely, more patients are now enrolled in high deductible health plans (HDHPs). Patient payment responsibility is at a new, all-time high and hospitals’ most reliable line of business with some level of reasonable margin, commercial insurance, is at risk. Manage the perfect storm.

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Insurance Verification by Payor Logic

http://www.payorlogic.com/insurance-verifier

Get faster verification for stronger bottom lines. Verifying eligibility is the first step for healthy receivables across most healthcare specialties. Whether in real time or batch processing, your ability to access details regarding coverage by service type, co-pay, deductibles and benefits empowers better reimbursement for all patient populations and payment methodologies. Higher clean claim rates. Real-time capture of benefits and eligibility. Payor Logic’s Insurance Verifier service helps customers c...

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About Us - Payor Logic

http://www.payorlogic.com/about-us

Welcome to the Payor Logic About Us Center. Payor Logic, Inc. (formerly Noah Management Group) was formed in 2008 to bridge a growing receivables management gap within the healthcare industry. In our search for accurate, streamlined A/R solutions, we determined the market was saturated with disparate useful products, but those products lacked integration and a single access point. Until now. Customers appreciate our leadership team’s hands-on approach to service and business relationships. At every l...

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Demographic Verifier - Payor Logic

http://www.payorlogic.com/demo-verification

The primary reason for denied claims and failed insurance eligibility is faulty patient demographic data. Healthy healthcare revenue begins with correct demographics and verified insurance coverage. With Payor Logic’s Demographic Verifier, you obtain complete and accurate patient information from day one. For every patient, every claim every time. The results of gaining timely access to correct patient demographics via Payor Logic are impressive:. Up to 60 percent less returned mail. Cleaner patient info...

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Prior Authorization

http://www.payorlogic.com/prior-authorization

Take smarter steps for faster revenue recovery. Verifying prior authorization and checking deductibles are serious challenges for many ancillary healthcare providers, especially emergency medical services. Unmet authorization requirements lead to delayed payment, escalating receivables and unnecessary write-offs. The need for faster insurance verification keeps your business up late. It’s also what brings us in early! Know which patients require prior authorization. Check deductibles up front. 8220;We fa...

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DME claims processing

http://www.payorlogic.com/dme

In 2013, durable medical equipment (DME) businesses were slammed with reimbursement cuts and new billing complexities. Every dollar became harder to collect and each order more difficult to fill. Increasing patient liability added to the growing struggle for DME providers maintain a positive cash flow and keep DME businesses afloat. There has been no easy button. Until now. Counterbalancing reimbursement cuts through faster billing and cleaner collections has become job #1. Minimize write-offs, labor hou...

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payor sources for emergency patients

http://www.payorlogic.com/emergency-physicians

Companies that code and bill for Emergency Medicine struggle to receive correct patient demographics and valid insurance information especially for patients that present as uninsured or self-pay. The key to survival is quickly verifying patient demographics and securing billable insurance coverage for each and every emergency visit. Expand available payor sources for self-pay patients. Benefits for Emergency Medicine. Payor Logic finds millions of dollars annually through correct patient demographics and...