Payor Logic Drives More Revenue for Puckett EMS

Georgia Ambulance Service Provider Finds Insurance Coverage for Self-Pay Patients

Aug 05, 2015, 08:30 ET from Payor Logic

CENTERVILLE, Ohio, Aug. 5, 2015 /PRNewswire/ -- Payor Logic, a technology and service company that finds additional revenue for healthcare providers and billing companies, today announced Puckett EMS, a leading EMS service provider with 45 ambulances, completed a successful pilot and has contracted with Payor Logic for insurance discovery, demographic verification and self-pay revenue analysis. The announcement was made at the Pinnacle 2015 EMS event by Jordan Levitt, partner and co-founder, Payor Logic.

"We decided to implement Payor Logic's services after completing a successful pilot test with the company. Using a combination of technology and EMS experts, Payor Logic reviewed 2,000 of our ambulance transports that lacked insurance coverage," states Terry Johnson, vice president of administration, Puckett EMS. Insurance coverage was discovered for 13 percent of patients identified as self-pay. Coverage included a mix of Medicaid and commercial insurance. For the remaining outstanding balances, Payor Logic provided propensity-to-pay scores, gauging payment likelihood. With payment likelihood information in hand, Puckett can more efficiently manage billing workflow.

"To date, we've realized $52,471 in additional revenue based on the insurance coverage Payor Logic discovered during the test—making the next step, a full contract with Payor Logic, a no-brainer for our organization," Johnson concludes.

"Emergency medical services companies must be compensated appropriately for the critical services they provide," adds Levitt. "We are honored to work with Puckett EMS to help streamline revenue workflow and discover insurance coverage for more patients." 

"With Payor Logic we discover insurance coverage and correct demographics that we simply can't track down on our own to correctly bill patients," affirms Johnson. "Our staff saves time spent waiting for patients to respond to an initial mailing. We also reduce total cost for mailing and correspondence, and capture revenue that would have otherwise been turned over to collections or written off."

"Our number one priority is always to get patients to the hospital or medical center as fast as possible," says Johnson. "Many times, especially when dealing with unconscious patients or with motor vehicle accidents, you don't have the ability to ask them about insurance coverage—making Payor Logic's technology and services essential to our bottom line." Puckett EMS plans to integrate Payor Logic's services with its ZOLL data management software for even greater staff and patient efficiencies.

About Payor Logic
Payor Logic helps healthcare providers and billing companies find millions of dollars annually by providing solutions to uncover correct patient demographics and insurance coverage for every visit, including self-pay. Payor Logic has specific industry expertise in emergency medicine, ambulance transportation, laboratories, medical imaging and hospitals. Payor Logic increases cash for these businesses by delivering actionable data and workflow for maximum reimbursement and patient balance resolution. The company's suite of products and services includes insurance discovery, patient demographic verification, payment likelihood prediction, prior authorization and eligibility verification. For more information visit Payor Logic at www.payorlogic.com.

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Payor Logic 

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SOURCE Payor Logic



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