Patient Financial Clearance

Approximately 41% of Americans face medical debt, exacerbated by high out-of-pocket costs and rising co-pays. Many patients are unaware of the financial assistance available to them and struggle to navigate the process.

Patient Financial Clearance helps by identifying patients likely to pay and connecting those who qualify for financial assistance with the right programs. This ensures health equity and supports staff with automated screening using Experian’s comprehensive data and analytics.

We also make it easier for patients. With integrated patient financial self-service automation, patients can complete applications and submit documents online using their smartphone or computer.

Patient Financial Clearance already screens for financial assistance and Medicaid eligibility using modeled estimates. Experian Verify adds a different kind of input: real-time, verified income and employment data reported directly by employers - not a model, not a tax return, the employer's own record.

That data comes from Experian's employer payroll network, one of the largest instant-access networks in the market: 67 million-plus active records, covering up to 40% of the U.S. workforce. It's the same scale of employment data trusted across lending and verification markets, now built into your financial clearance workflow. Instead of estimating whether a patient still qualifies for Medicaid or financial assistance, you can see verified income, employment, and hours worked, as reported by their employer. It plugs into Patient Financial Clearance as a native add-on, with no development work required on your end.