EligibilityOne

Finding a program you may qualify for is one thing.

Actually navigating the enrollment process is another.

EligibilityOne helps patients and families work through enrollment for health insurance plans as well as local, county, state, and federal health programs.

From understanding eligibility to completing applications, our advocates are there to help people move through the process instead of trying to figure it all out alone.

At participating contracted hospitals, this assistance is free to patients and their families.

Learn more: www.eligibilityone.com

An out-of-state Medicaid account shouldn’t become a write-off simply because your team doesn’t have the time or resources to navigate another state’s process.

That’s where experience matters.

EligibilityOne works across all 50 states, handling the enrollment, billing, and follow-up associated with out-of-state Medicaid accounts on behalf of hospitals.

Your team doesn’t need to become an expert in 50 different state processes. We already have a team that is.

Learn more: www.eligibilityone.com

Medical bills. Insurance applications. Medicaid. Financial assistance.

For someone already dealing with a health issue, figuring out where to start can be overwhelming.

EligibilityOne helps patients and families understand their options, complete applications, explore available benefits, and work toward resolving their accounts.

And at participating contracted hospitals, these eligibility services are provided at no cost to the patient or family.

Sometimes the most important part of patient advocacy is simply helping someone understand what options they have.

Learn more: www.eligibilityone.com

A patient showing as self-pay doesn’t always mean there’s no coverage available.

Finding that coverage takes the right combination of technology, experience, and someone willing to dig deeper.

EligibilityOne’s on-site Eligibility Advocates work alongside AdvocatorAI to screen self-pay and uninsured patients in real time, helping identify eligibility and enrollment opportunities that may otherwise be missed.

For hospitals, that can mean less uncompensated care. For patients, it can mean finding coverage when they need it most.

Learn more: www.eligibilityone.com

The patient crossed a state line. Their coverage opportunity didn't disappear.

Out-of-state Medicaid accounts can quickly become complicated for hospital billing teams.

Different state requirements. Different enrollment processes. Different documentation. Different billing rules.

When internal teams don't have the resources or expertise to manage those differences, potentially recoverable accounts can end up classified as self-pay and eventually written off.

EligibilityOne manages Out-of-State Medicaid across all 50 states, helping hospitals pursue reimbursement without adding another complex workflow to their internal teams.

No state should be out of reach. No account should be left behind.

Learn more: eligibilityone.com

A prior authorization shouldn't disappear into a portal and sit there.

But when teams are managing hundreds of requests across multiple payers, manual follow-up becomes a major operational burden.

Status checks.
Documentation.
Denials.
Resubmissions.
EMR/EHR updates.

Every extra step takes staff away from higher-value work — and every delay can hold up revenue.

EligibilityOne combines automation with experienced onshore support to manage prior authorizations from submission through resolution.

Less chasing. Fewer missed follow-ups. A more efficient path to reimbursement.

Learn more: eligibilityone.com

For a patient, Medicaid enrollment isn't paperwork. It can be life changing.

Patients navigating an unexpected hospital stay are often dealing with much more than a medical bill. They may be facing job loss, financial uncertainty, housing challenges, or simply trying to understand a system they've never had to navigate before.

That's where advocacy matters.

EligibilityOne helps patients identify and enroll in programs they qualify for while helping healthcare organizations secure appropriate reimbursement.

It's a reminder that the best revenue cycle outcomes don't have to come at the expense of the patient experience. Sometimes, they're the same outcome.

Learn more: eligibilityone.com

How much coverage is hiding in your patient population?

Missing or unidentified insurance doesn't just create extra work. It can lead to unnecessary self-pay balances, delayed reimbursement, and avoidable bad debt.

EligibilityOne's Coverage Discovery helps uncover coverage that may otherwise be missed — giving hospitals another opportunity to get accounts to the right payer before revenue is lost.

Because sometimes the coverage is there. You just need a better way to find it.

Learn more: eligibilityone.com

“Self-pay” shouldn't be the end of the conversation.

Behind many self-pay accounts is coverage that simply hasn't been found yet.

A patient may qualify for Medicaid, SSI, financial assistance, or another coverage program — but without the right screening process, those opportunities can be missed, and accounts can move closer to bad debt.
EligibilityOne helps hospitals look deeper.

Our technology and experienced advocates identify potential coverage, help patients navigate enrollment, and turn overlooked reimbursement opportunities into recovered revenue.

Better screening for the hospital. Better support for the patient.

Learn more: eligibilityone.com

Out-of-state Medicaid is one of the most recoverable revenue gaps in healthcare, and the one most billing teams are least equipped to handle.

When staff can't verify coverage quickly, out-of-state patients default to self-pay. That revenue doesn't get recovered. It gets written off.
EligibilityOne changes that. Swipe through to see how.

→ eligibilityone.com