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Q&A: authenticating portal access with automation

Published: March 18, 2021 by Experian Health

Other blog posts in this series:

Segmenting your patient population for the COVID-19 vaccine

Engaging patient segments with convenient, secure scheduling solutions

The patient portal can play an important role in COVID-19 vaccination efforts, allowing patients the ability to both schedule their vaccines and keep track of where they are in the process, at least for those vaccines that require more than one dose.

We interviewed Victoria Dames, senior director of product management at Experian Health, about how providers can authenticate portal access with automation, while also protecting patient identities.

As portal traffic increases, what are the authorization concerns?

Many providers who are supporting the mass vaccination sites are leveraging their existing patient portals to schedule patients for the vaccine. As providers are now seeing individuals sign up for portals at scale it can difficult to ensure that the individuals being granted access to the portal are in fact who they say they are. That is a huge concern knowing the patient portal contains PHI that is commonly a target for fraudsters.

What are the benefits of automating portal enrollment and access?

Automation alleviates two things. First, it provides an industry-wide level of security and assurance. It provides the market standard for identity proofing before granting access to a patient record. Second, it alleviates a lot of the administrative burden put on provider staff. Automating portal enrollment allows staff to focus their attention on other, more important efforts.

And, for portal enrollment at this magnitude, automation really is necessary. Providers are seeing individuals going back multiple times to the same portal, signing in more than once and sometimes with multiple log-ins, just to schedule an appointment for a vaccination.

Our recent survey on patient access found that 54% of patients are concerned about security when accessing their personal details online. From a provider’s perspective, does having a system like this help with the objective of making patients feel more secure?

One area where patient and provider views align is around the security of digital access solutions. The balance, though, between security and convenience can be a tough one to maintain. Moving quickly while maintaining security – and without adding undue friction – is a tall order, but it’s not optional. With the right tools and support, providers can safeguard patient data throughout the vaccination process with confidence and make the portal enrollment process as frictionless as possible.

Interested in learning more about how Experian Health can help supercharge the COVID-19 vaccine management process?

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“You know when the Patient Access Curator went live because you can see it in our stock price. It helped us drive a $100 million bottom-line improvement within two quarters.” —Ken Kubisty, Vice President of Revenue Cycle at Exact Sciences Challenge Exact Sciences is a prominent cancer diagnostics laboratory with an annual net revenue of around $2.6 billion, that's best known for its flagship cancer screening test, Cologuard. After a period of rapid growth demand for its test, Exact Sciences faced the difficult task of collecting accurate patient data and verifying insurance eligibility at scale. Anticipating a 25% growth in annual testing volumes, Ken Kubisty, Vice President of Revenue Cycle at Exact Sciences, says the organization “needed an automated, real-time solution" to capture accurate data from the start. The company had four specific objectives: Improve the accuracy of patient insurance data to reduce errors and denials. Streamline processes to handle rising testing volumes without increasing headcount. Reduce claim denials to bring in more revenue (especially those related to eligibility and timely filing). Ensure accurate identity verification in lab settings, where patient, physician and lab data aren't unified within a single data management system. Watch the webinar: Hear our pre-recorded session from our annual Experian Health High-Performance Summit 2024 (HPS), featuring Exact Sciences and Trinity Health, as they reveal how Patient Access Curator helped their organizations automate eligibility, reduce denials, and more, all with a single click. Solution In need of a single solution to solve multiple challenges, Exact Sciences turned to Experian Health's Patient Access Curator. This new product provided the team with a way to run inquiries for eligibility, Medicare beneficiary identifiers, coordination of benefits, insurance discovery and demographic data with a single click. Instead of juggling multiple products and vendors, registrars would be able to capture and verify patient data in a single transaction. Through automation and machine learning, Patient Access Curator could deliver results in less than 30 seconds and help submit clean claims the first time – reducing the risk of denials even as volumes increased. Experian Health's implementation experts configured the tool to Exact Sciences' needs, integrating over 4,000 payer plans nationwide and customizing parameters for real-time eligibility checks and data validation. Experian Health also delivered staff training to support the transition to the new system. Watch the video: See how Experian Health's Patient Access Curator streamlines patient access and billing, addressing claim denials, data quality and real-time corrections to boost your business's bottom line. Outcome Thanks to Patient Access Curator, Exact Sciences achieved the following results: 15% increase in revenue per test due to accurate eligibility and fewer denials 4x business volume without increasing headcount 50% reduction in denials and major improvement in timely filings $100 million added to the bottom line in 6 months Ken Kubisty, VP of Revenue Cycle at Exact Sciences, shares how Patient Access Curator improved eligibility processes, reduced errors and more. Overall, Kubisty credits Experian Health's Patient Access Curator for helping Exact Sciences overcome critical pain points resulting from data errors and eligibility issues. Solving for bad data quality with real-time data correction freed staff from tedious manual work, ensuring faster, more accurate claims processing – all without growing headcount. After implementing Patient Access Curator, the company is ready to scale and handle growing volumes efficiently, say goodbye to late filing denials and scale smarter. For Kubisty, this highlights how technology drives efficiency and sustainable growth. Learn more about how Patient Access Curator helps patient access teams prevent claim denials by solving for bad data quality with real-time data correction. Learn more Contact us

Published: February 27, 2025 by Experian Health

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