Likelihood to Pay

A good way to determine a patient's ability to pay is to check the patient's propensity-to-pay. Propensity-to-Pay runs automatically when the patient is new, when the claim moves into patient billing, and when the Patient Billing page is accessed. The results of the propensity-to-pay query is divided in four categories, credit score, available credit, income compared to federal poverty level, and likelihood to pay.

Income compared to FPL: The Federal Poverty Level (FPL) is used to measure a household's poverty status. This level can help determine if the individual can qualify for Medicaid.

The likelihood to pay value is derived from the credit score:

• Low: Credit score 0 - 500
• Medium: Credit score 500 - 600
• High: Credit score over 600

Access from Patient Billing page

1. Hover over Claims on the navigation bar and click Patient Billing.
2. Enter the patient's name in the box under the "Patient Name" heading.
3. On the same line as the patient's name, click the icon in the review column.

The propensity-to-pay information displays at the top of the "Patient responsibility" tab.

Access from the Accounts page

1. Enter the patient last name or claim number in the search field and click the search icon.
2. On the search results page, click the patient's name.
3. On the patient's account page, click the Patient responsibility tab.

The propensity-to-pay information displays at the top of the "Patient responsibility" tab.