PATIENT ACCESS PLUS
Upfront financial transparency, without slowing your team down
Patient Pay Estimate uses verified benefits and configured fee schedules to calculate patient responsibility upfront—so teams can move patients through clearance faster, reduce manual calculations, and set the right expectations at check-in.
POWERED BY AGENTS AND RCM EXPERTS
Estimate generation in your workflow
Patient Pay Estimate generates estimates within the same workflow used for coverage verification. When coverage information changes, staff can recalculate the estimate without re-entering information.
Use agents to reduce repetitive effort and keep estimates moving without adding headcount.
- Support estimate creation based on scheduled services
- Assist with gathering required benefit details for the requested procedure
- Support retrieval of allowed amounts using configured fee schedules and payer rules
- Support estimate recalculation when coverage information changes
- Route exceptions to specialists when inputs are missing or conflicting
SOFTWARE ONLY
Patient Access Plus Platform
Deploy Patient Pay Estimate with our Eligibility Verification and Benefit Check module to standardize estimate creation across service lines and locations.
- Generate estimates prior to the visit using verified benefits and allowed amounts
- Use configured fee schedules with payer rules, CPT-level variations, and multiple procedure discount logic
- Apply deductible, coinsurance, copay, and benefit limitations automatically
- Display estimate details for staff use or patient sharing
- Full service support by Infinx team
SOFTWARE + OUR SPECIALISTS
Patient Access Plus Solution
Add dedicated specialists to increase estimate volume, improve consistency, and support exceptions when payer rules or benefits create edge cases.
- Everything included in Software Only
- Exception handling and escalation support
- Expanded plan & procedure benefits view
- Standardized workflows and quality checks
- Additional capacity during staffing gaps or volume spikes
HOW IT WORKS
From benefits and pricing to a clear estimate
Eligibility and benefit checks
Verify coverage and capture benefit details needed for estimation.
Allowed amount identification
Retrieve allowed amounts using configured provider-payer fee schedules, including payer-specific pricing rules, CPT-level variations, and multiple procedure discount logic.
Patient responsibility calculation
Apply deductible, coinsurance, copay, and benefit limitations to calculate expected patient responsibility.
Estimate presentation
Display estimate details for staff use or share with patients to support financial conversations and collections.
WHY IT WORKS
Built for real-world estimation complexity
Patient Pay Estimate supports:
- Multiple procedure discounts aligned to payer rules
- Custom fee schedules with CPT-level variations
- Default pricing when a specific fee schedule is unavailable
- Rules-based configuration aligned with operational policies
We are proudly SOC2 Type2, HITRUST certified and HIPAA compliant
We are proudly SOC2 Type2, HITRUST certified and HIPAA compliant
PRIOR AUTHORIZATION ROI CALCULATOR
Calculate your savings
Enter in the number of prior authorization requests your team processes each month, the number of staff processing such requests, and the annual salary of each of your team members.
Check your inbox for results to see how much you can save by incorporating an AI-powered prior authorization solution at your organization.
