In-house Eligibility Enrollment Solutions

• Advanced technology to process Medicaid and charity care accounts.
• Optimizing hospital control of the uninsured eligibility process.

Helixx^TM is Human Arc’s dynamic, new, internet-based eligibility and enrollment solution for hospitals that choose to process Medicaid and charity care patient accounts with their in-house financial counselors.  The Helixx solution employs an Application Service Provider model that is flexible and scalable enough to meet the needs of healthcare environments from single facility hospitals to large multi-facility systems.

Why Helixx

The Helixx system empowers hospitals to:

• Maximize in-house control of the growing self-pay population.
• Increase opportunities for reimbursement for those accounts.
• Accelerate financial clearance.
• Increase accuracy, consistency, productivity and cost effectiveness throughout the self-pay process.
• Provide every uninsured and underinsured patient with knowledge of, and access to, healthcare programs for which they qualify, including Medicaid and charity care programs.
• Optimize regulatory compliance and community benefit documentation.
• Increase reporting value to counselors and their management.

What Sets Helixx Apart

• Complete Functionality.  Unlike solutions on the market that focus primarily – or only – on eligibility screening, Helixx guides counselors through the entire process, all the way from self-pay determination and assistance program selection to final account resolution. 
• Value for all levels of patient financial management.  Helixx responds to hospital management needs as well.  It is a superb tool for patient financial services department managers to create better eligibility and enrollment processes.  And Helixx provides management with valuable compliance data that allows them to document the consistent treatment of self-pay patients as well as community benefit through charity care funding.
• A proven workflow engine.  Human Arc’s 24 years of experience in eligibility and enrollment are built into our proven workflow engine, ensuring all patient accounts are processed in the most efficient and effective manner possible.  Helixx even has multiple workflow models to define criteria for which accounts should be worked: intensive (aggressive follow-up), moderate (less intensive follow-up) or self-directed (patient-driven follow-up) paths.
• Product configurability.  Helixx allows configuration flexibility so clients can tailor the system to their unique needs: workflow engine timing and “intensity,” correspondence database, department and physician databases, EDI connectivity, charity care rule setting, etc.
• Comprehensive reporting capabilities.  The advanced system design enables customers to access a wide range of data, including completed and outstanding tasks, milestone cycle time and account status.  These reports can be configured based on a variety of criteria, and can be “drilled down” to the individual account level. Reports can be exported in a variety of formats and file types.
• A complete eligibility enrollment solution.  Helixx can be combined with other Human Arc services including traditional eligibility outsourcing of patient accounts, financial counselor training and even expert process improvement consulting. 

Helixx.

Because your best minds need the best technology to achieve your goals.

From Human Arc.

Because eligibility enrollment is in our DNA.