SOLUTION DESCRIPTION

Our ZOLL® AR Boost® Deductible Monitoring tool provides real-time intelligence about a patient’s deductible fulfillment that empowers revenue cycle professionals to drop claims with intention and precision. This data-driven approach shifts primary financial responsibility to payers, increasing the likelihood of receiving proper reimbursement while lightening the cost-sharing burden on patients. Billers can use our Deductible Monitoring tool to automatically check a patient’s outstanding deductible on a recurring basis until it reaches the predetermined, customer-defined threshold. The tool sends notifications when the deductible falls below a certain dollar threshold. Billers can use this information to time the claim submission for “right-day billing,” sending it to the payer only after the deductible has been (or is close to being) met and within a certain number of days of timely filing. If a claim has been in the queue for longer than the user-defined period and the deductible has still not been met, a notification to that effect is generated and the monitoring activity for that claim will cease.