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Financial Clearance Intelligence for Better Admissions & Compliance Decisions


Predict revenue, insurance value, and patient responsibility before admission while improving payer audit readiness.

From benefits verification and patient responsibility estimation to admissions risk assessment and payer audit readiness, FinAdvisor helps Providers make more intelligent and consistent financial decisions before care begins.

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  • Know expected insurance reimbursement and patient responsibility before admission.

  • Reduce manual admissions and financial clearance workflows.

  • Support compliance-safe financial workflows and payer audit readiness.

  • Identify financial and operational risk earlier with AI-supported insights.

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FinPass_VOB

VOB Management

Incomplete and inaccurate insurance verification can create delays, administrative burden, and downstream revenue risk across the patient financial lifecycle.

  • Give your team AI-enhanced, real-time visibility into digital and live verification of benefits (VOB) workflows.
  • Filter VOBs by level of care to quickly surface the most relevant financial and admissions information.
  • Every VOB is date-and time-stamped to support automated re-verification workflows and payer audit readiness.
  • Access all VOBs in downloadable PDF format for streamlined financial documentation and operational visibility.
  • Seamlessly integrate with market-leading digital VOB platform.

FinAdvisor VOB Manager digitally captures and centralizes all VOBs in one secure, audit-ready solution.

FinPass_VOB

VOB Management

Incomplete and inaccurate insurance verification can create delays, administrative burden, and downstream revenue risk across the patient financial lifecycle.

  • Give your team AI-enhanced, real-time visibility into digital and live verification of benefits (VOB) workflows.
  • Filter VOBs by level of care to quickly surface the most relevant financial and admissions information.
  • Every VOB is date-and time-stamped to support automated re-verification workflows and payer audit readiness.
  • Access all VOBs in downloadable PDF format for streamlined financial documentation and operational visibility.
  • Seamlessly integrate with market-leading digital VOB platform.

FinAdvisor VOB Manager digitally captures and centralizes all VOBs in one secure, audit-ready solution.

FinPass_Estimator

PFR Estimator

Clear patient financial responsibility estimates can improve financial transparency, reduce downstream collections activity, and support more informed treatment decisions. — Becker’s CFO Report

  • Be compliant with good-faith estimate compliance requirements with 2 mouse clicks.
  • Use AI-supported quoting methods to generate more accurate patient financial responsibility estimates (average length of stay, recommended length of stay, manual, and single case agreements).
  • Calculate covered and uncovered services with greater financial visibility and operational consistency.
  • Clearly display good-faith patient financial responsibility estimates with detailed cost breakdowns, including deductibles, co-insurance, co-pays, and self-pay obligations.
  • Adjust estimates for recent prior care activity that VOB workflows may miss.
  • Support crossover calculations for admissions extending beyond the patient’s benefit year.
  • Compliant financial assistance & Scholarship eligibility workflows.
  • Income verification and capacity-to-pay insights based on IRS tax data to support financial clearance and financial assistance decisions.

With FinAdvisor, intelligent financial clearance and financial visibility creates better census quality.

FinPass_Risk_Computer

Admissions Risk Assessment

A significant portion of financial and operational risk is determined before admission. — Metadata

  • Forecast estimated insurance value and expected net patient revenue before admissions decisions are finalized.
  • Use AI-driven insights to identify high-risk and high-quality admissions earlier in the admissions process.
  • Gain visibility into financial AMA risk, patient financial responsibility concentration, and profitability risk.
  • Compare admissions risk profiles across facilities to support more consistent financial and operational decision-making.
  • Enable escalations and exceptions for high-risk patients through standardized financial clearance workflows.

To improve census quality, FinAdvisor provides admissions risk assessments before admissions are approved, enabling more intelligent and consistent financial clearance decisions.

A Verification of Benefits Can Be Careful, Documented, and Still Be Wrong

75%

75% of all claim denials are related to eligibility issues.

Proactive, Accurate Cost Estimates Shift the Conversation From a Collections Problem to a Financial Engagement Opportunity

71%

71% of patients prefer to discuss their cost estimates prior to care. Since 2022, it is also a requirement under the No Surprises Act.

Data-Driven Insights Drive Better Financial & Clinical Outcomes

15%

Grow EBITDA by 15% simply by knowing and assessing financial risks prior to admission.

Manage Patient Financial Responsibility with One Connected Platform

From financial clearance through account resolution, FinPay helps healthcare providers improve financial performance, reduce cost to capture, and streamline patient financial workflows through AI-supported automation and operational intelligence.

 

Financial Clearance → Admissions → Patient Financial Clearance Workflows → Account Resolution

FinPass meeting

See What Patients Are Saying About FinPay

Patient Comments About FinPay

"FinPay goes above and beyond! Their electronic financial records made everything clear and transparent, which is extremely helpful in situations like this. The whole experience put me more at ease."

Patient - FinPay

"FinPay's system was amazing. The whole experience put me more at ease."

Patient - FinPay

"FinPay is awesome. The best financial transaction I have ever done. Extremely happy!"

Patient - FinPay

"FinPay explained everything to me step-by-step. Wonderful experience!"

Patient - FinPay

"It was helpful to know what we are getting into financially upfront. We have had bad experiences with other programs and are wary but FinPay gave us peace of mind."

Patient - FinPay

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