TransUnion Healthcare Speeds up Prior Authorization Process, Reducing Provider Administrative Costs

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CHICAGO, April 21, 2017 (GLOBE NEWSWIRE) -- To help further improve the patient experience at hospitals and health systems, TransUnion Healthcare (NYSE:TRU) today announced the expansion of its with the launch of its solution and the enhancement of its offering.

TransUnion’s Prior Authorization solution helps ensure providers will be reimbursed for the patient care services they provide. The company’s Insurance Eligibility solution has been enhanced to help streamline front-end workflows by integrating directly into hospital electronic health records (EHRs). Together, the solutions will help improve overall revenue cycle efficiency.

TransUnion is leveraging its market leading Insurance Eligibility Clearinghouse, which currently processes millions of transactions daily and is primarily delivered to ambulatory providers via channel partners, to expand its offerings to hospital providers. The offerings will be featured at the National Association of Healthcare Access Management (NAHAM) Annual Conference.  

“This year’s NAHAM conference is all about the patient experience. We can now help providers reduce the time to complete the prior authorization process, benefitting patients as well,” said John Yount, vice president of product for TransUnion Healthcare. “TransUnion’s Insurance Eligibility and Prior Authorization solutions also drive productivity, lower administrative costs and reduce uncompensated care costs.”

Registration staff have access to TransUnion’s Prior Auth Library℠, which contains more than 1.5 million payer-specific prior authorization rules for more than 16,000 procedure codes covering 92% of U.S. insured lives.

The solution delivers:

“Managing prior authorization requirements is an extremely manual and time-consuming process for providers. Registration staff are typically forced to rely on spreadsheets, binders and/or sticky notes to keep track of authorization requirements and changes to payer rules,” said Yount. “TransUnion helps to alleviate this burden by continually monitoring and staying abreast of insurance plans and changes to payer rules to ensure they have access to the most up-to-date information to complete their tasks.”

The solution delivers:

“The Insurance Clearinghouse is optimized to deliver 99.9+% uptime by leveraging modern IT technology that ensures minimal disruption to hospitals’ workflow. Hospitals also receive access to TransUnion’s industry-leading insurance clearinghouse customer service team that maintain a 97.5% customer satisfaction rating,” added Yount.

The expansion of Insurance Eligibility and the addition of Prior Authorization round out TransUnion’s Patient Access solution suite to both hospital and ambulatory providers, which includes Identity Verification, Medical Necessity, Patient Payment Estimation, Financial Aid, Propensity to Pay, and Charity Assessment. The easy-to-use solutions let staff engage patients early—and target point-of-service collection.

For more information about TransUnion Healthcare’s Patient Access solutions, please visit .

We call this Information for Good. 


Dave Blumberg



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Globe Newswire: 17:26 GMT Friday 21st April 2017

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