Use patient estimates to capture more upfront collections.

Patients who have a good understanding of their financial responsibility are more likely to pay at the point of service. Replace manual estimates with accurate calculations of their out-of-pocket costs.

Replace unreliable manual estimates.

SurePayHealth™ automates the process of calculating a patient’s liability without manual intervention, using managed care contracts, charge master data, and the most current patient benefit information available to create an accurate estimate.

The software offers a financial assistance feature that aids in the financial clearance process of determining propensity to pay or charity qualification, without requiring an intrusive credit check. There’s also an optional feature for details reporting on actual collections relative to total opportunity through integration of payment posting files.


“Before Recondo, our staff would have to sit on the phone forever with insurance companies who would only discuss 3 or 4 patients at a time. Now it’s all automated, so all of that time is freed up for other work.”
— Linda Glass, Director of Patient Access

St. Francis Hospital

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Benefit Verification

Real-time benefits are obtained via EDI and/or web bot including out-of-pocket maximums and deductible balances, returned based on patient type and service.

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Real-Time Alerts

Alerts are display to notify staff regarding Health Reimbursement Accounts, or other supplemental coverage and/or payment options.

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Accuracy Analysis

Evaluates patient estimates against previously adjudicated claims and reports the percentage of accuracy related to the patient out-of-pocket expense.

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Collections Reporting

Analyzes the collections to opportunity ratio, reason for non-collection, percentage of accounts that did not require staff intervention (ATP rate), collections by staff member/location/facility/patient type and service.

Related Resources

We just knew we needed to get estimates right the first time up front. For that, we needed the right tools. Work is visibly more productive. Our staff no longer have to spend time calculating estimates and our patients are happier.

Katie Davis

Atrium Health

It’s extremely hard to ask people to do a job without the tools to accomplish it. Manually, our team could only go so far in increasing pre-registration and point-of-service, which are critical collections points today for any facility.

Before Recondo, our staff would have to sit on the phone forever with insurance companies who would only discuss 3 or 4 patients at a time. Now it’s all automated, so all of that time is freed up for other work.

Linda Glass

St. Francis Hospital

Want to be an HFMA MAP winner?

Three of our client organizations were awarded the esteemed HFMA MAP Award last year. See how SurePayHealth™ supports your MAP achievement.

Bad Debt (AR-6)

Trending indicator of the effectiveness of collection efforts and financial counseling. Indicates organization’s ability to collect accounts and identify payer sources for those who cannot meet financial obligations.

Charity Care (AR-7)

Trending indicator of the administration of the provider’s financial assistance policy. Indicates services provided under the provider’s financial assistance policy.

Net Days in Credit Balance (AR-9)

Trending indicator to accurately report account values, ensure compliance with regulatory requirements, and monitor overall payment system effectiveness. Indicates process failure in timely cash posting, incorrect posting or incorrect payment.

Cash Collection as a Percentage of Net Patient Service Revenue (FM-2)

Trending indicator of revenue cycle ability to convert net patient services revenue to cash. Indicates fiscal integrity/financial health of the organization.

Uninsured Discount (FM-3)

Trending indicator of amounts not expected to be paid by uninsured patients. Indicates the portion of the self-pay gross revenue not included in cash, charity, or bad debt metrics.

Uncompensated Care (FM-4)

Trending indicator of total amounts not collected from patients related to self-pay discounts, charity care, and bad debt combined. Indicates the portion of the self-pay gross revenue not included in cash, charity, or bad debt metrics.

Case Mix Index (FM-5)

Trending indicator of patient acuity, clinical documentation and coding. Supports appropriate reimbursement for services performed and accurate clinical reporting.

Cost to Collect (FM-6)

Trending indicator of operational performance. Indicates the efficiency and productivity of revenue cycle process.

Cost to Collect by Functional Area (FM-7)

Trending indicator of operational performance by functional area as reported in KPI FM-6. Indicates the efficiency and productivity of revenue cycle process by functional area.

Insurance Verification Rate (PA-3)

Trending indicator of charge capture workflow efficiency. Impacts cash flow.

Conversion Rate of Uninsured Patient to Third-Party Funding Source (PA-6)

Trending indicator of revenue cycle ability to convert net patient services revenue to cash. Indicates fiscal integrity/financial health of the organization.

Point-of-Service (POS) Cash Collections (PA-7)

Trending indicator of amounts not expected to be paid by uninsured patients. Indicates the portion of the self-pay gross revenue not included in cash, charity, or bad debt metrics.

See why the nation's top providers choose Recondo.

The cash flow improvements and cost savings have been very apparent. It’s much less expensive to automate claim status verification with Recondo than add staff.

Mary Wickersham

VP, Central Billing Office, Avera Health

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