Eligibility and Enrollment

Going above and beyond to get patients enrolled is all about ensuring the integrity of insurance coverage and identifying appropriate government and managed-care programs. Based on demonstrated success, we’ll help you identify and secure available programs for your patients, yielding higher reimbursements for inpatient, outpatient and Emergency Department (ED) services. We utilize the latest operational software, database technology and proven processes for discovery. Onsite Eligibility Specialists and Disability Experts verify eligibility for a variety of government and other financial assistance programs, including Supplemental Security Income (SSI), Victim of Crime or liability-related injuries. Our work doesn’t stop when the patient goes home from the hospital. From application assistance to resolution, advocates are available to help patients navigate today’s complex billing process.

Turn to nThrive Eligibility and Enrollment for:

  • Specialized, state-by-state expertise on Medicaid and Disability qualification requirements, helping patients gain access while hospitals gain appropriate reimbursement.
  • More than 25 years of success advocating for self-pay patients, with Medicaid conversion rates higher than the industry standard of 30 percent.
  • Expertise from more than 200 clinicians and experienced examiners to assess information and secure Disability coverage.
  • Electronic bedside eligibility screening and face-to-face interaction with patients and their family, building trust to secure information for coverage and providing assurance that all alternatives are being explored on the patient’s behalf.

Eligibility Case Study

How expertise and best practices resulted in a 32 percent increase in Medicaid approvals on inpatient accounts for a regional hospital.

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Eligibility Enrollment Case Study

How our efforts resulted in approved accounts with $25 million in charges and $1.4 million in payments for a Nevada health system.

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