“We're starting to see progress on our goals in the numbers. We're starting to see that we're screening everyone so we can see what they're eligible for. We're also starting to see what our real volume is. I'm realizing that I need to look at my staffing model, and it leading to some cool and unique questions.”

Gerilynn Sevenikar, VP of Revenue Cycle

Sharp HealthCare

"We are off the manual process and found that we were under-reporting assists!"

CMO

Dallas Texas

"Our patients are saying they are able to get referrals to specialists they weren't before because now they have coverage."

"Jenny (customer success advisor) is awesome. Always patient, always there to answer our emails and calls."

COO - Virginia FQHC

“PointCare has helped improve our self-pay patient process and, most importantly, has increased our patient satisfaction levels. Thanks to PointCare, we are able to live out Sharp’s goal to offer quality care and programs that set community standards, exceed patients’ expectations, and are provided in a caring, convenient, cost-effective, and accessible manner.”

Gerilynn Sevenikar, VP of Revenue Cycle

Sharp HealthCare

“PointCare has highly impacted our workflow and made our enrollment process much smoother. Being able to screen individuals based on income really helps us direct them to the appropriate application and from there, submit the application and then know the status. I love the idea that not only can we submit the application, but that we have a follow up option as well. PointCare is our go to and everything goes through PointCare.”

Nelson Samayoa, Certified Enrollment Counselor

Eisner Pediatric & Family Medical Center

“With PointCare, I am able to go into my dashboard and have a graph ready on my team’s productivity. I am able to manage my team across 9 location and identify areas of opportunity by looking at the data comparing what they are doing this year to last year. This enhances our operational productivity and gives me better visibility into our processes.”

Cyndi Ozuna, Healthcare Navigator & Outreach Supervisor

Omni Family Health
PointCare | Better Manage Uninsured Patients -

PointCare | Better Manage Uninsured Patients –

A Better Public Coverage Experience for
Patients, Providers, and Payers

Hospitals

Find coverage and increase conversion rates for inpatient, outpatient and emergency visits

Clinics

Cover more visits, anchor patients, one-click reports, and manage member coverage

RCMS

Enhance or replace your existing enrollment tech, increase conversions, and decrease costs

Developers

Integrate PointCare Qualify API into your current systems

We followed two hospitals implementing PointCare over a 12 month period. Both submitted more applications, had more approvals and covered more visits, leading to an increase in revenue while decreasing costs.

We followed two hospitals implementing PointCare over a 12 month period. Both submitted more applications, had more approvals and covered more visits, leading to an increase in revenue while decreasing costs.

We followed an RCM customer implementing PointCare over a 12 month period. More applications were submitted per representative, leading to more approvals and covered more visits. The results were an increase in revenue at a 29% decrease in FTEs. 

We followed an RCM customer implementing PointCare over a 12 month period. More applications were submitted per representative, leading to more approvals and covered more visits. The results were an increase in revenue at a 29% decrease. 

81% of patients in expanded states and 25%-50% in non-expanded states qualify for Medicaid. In addition, 67% or more qualify for other coverage options.

Qualify API uses patient data to match uninsured patients to insurance and benefit options nationwide, including programs addressing social determinants of health. Email, print or text results to patients including application checklists.
Qualify API uses patient data to match uninsured patients to insurance and benefit options nationwide, including programs addressing social determinants of health. Email, print or text results to patients including application checklists.
81% of patients in expanded states and 25%-50% in non-expanded states qualify for Medicaid. In addition, 67% or more qualify for other coverage options.


Why it is time to invest in your enrollment department

Converting self-pay patients quickly results in more covered visits, more revenue and higher patient satisfaction scores.

Adapt to the ever-changing coverage landscape, instantly.

PointCare is a breakthrough coverage management platform for enrollment teams – allowing them to accurately qualify and enroll patients into coverage, faster.

With Total Coverage Management (TCM) the enrollment process is further streamlined with automatic alerts when patients are approved or have fallen out of coverage. This results in quicker reimbursements, more PCP selections and covered visits, as well as stronger patient relationships.

10,000,000 qualifications and counting

PointCare users have converted millions of patients from self-pay to covered.

Content enabled workflow

All the information you need to complete enrollment. Qualify helps choose where to apply and Verify automatically checks for Medicaid coverage.

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Improve enrollment success

Qualify your members confidently. PointCare has up-to-date information on every public and private coverage program managed by our in-house eligibility experts.

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Integrated tracking and reporting

Monitor productivity and enrollment team success. Identify areas of improvement to increase efficiency and approvals.

Learn More

Content enabled workflow

All the information you need to complete enrollment. Qualify helps choose where to apply and Verify automatically checks for Medicaid coverage.

Learn More

Improve enrollment success

Qualify your members confidently. PointCare has up-to-date information on every public and private coverage program managed by our in-house eligibility experts.

Learn More

Approval Notifications

PointCare closes the communication gap between health systems and payers with automatic approval notifications! Stop scrubbing websites and notify patients of an approval even before Medicaid does.

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1,000s of Training Hours Saved

Hire and spin up a new enrollment user instantly. PointCare eliminates the need to research local programs and eligibility rules.

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Retain Members

Clinics can execute Member Coverage Management for redeterminations, coverage churn, and PCP selections. PointCare’s Enrollment Intelligence tells you what to do and when to do it.

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Integrated tracking and reporting

Monitor productivity and enrollment team success. Identify areas of improvement to increase efficiency and approvals.

Learn More

Top partners, hospitals and clinics include