Problem Statement

Coverage and benefit details must be confirmed and entered accurately before billing, and doing this manually at volume is slow and error-prone. Hospital Discounted Care (HDC) Pending patients with no alternate coverage on file need the correct financial status class set so the account follows the charity pathway instead of being misbilled to the patient or a payer.

Automation Solution

This automation updates FSC payer details in Epic and Athena IDX for Hospital Discounted Care (HDC) Pending patients who do not have alternate coverage on file.