Self-pay and Medicaid Made Simple

Check self-pay patients against Medicaid in seconds

Self-pay does not have to mean uncertain. Insurance eligibility software should scan self-pay patients against Medicaid in real time or on a monthly batch and surface active coverage that staff and patients may not know exists. Multi-Factor Eligibility, designed by ClearWave, performs those checks automatically, which turns missed opportunities into paid encounters and improves access for patients who qualify.

Set custom self-pay rules and collect automatically

Every practice handles self-pay differently, yet many systems force a single path. Multi-Factor Eligibility allows custom self-pay rules that reflect your standards and collect the desired amount during check-in. Staff do not chase balances after the visit. Patients do not wait for mailed statements. Collections feel predictable because the rules are clear and automated.

Tap a network that reaches over 900 payers

Eligibility depends on connections. Multi-Factor Eligibility pulls data from multiple clearinghouses and connects with more than nine hundred payers, returning instant responses from over ninety-five percent of them. That reach reduces dead ends, shortens calls, and gives teams confidence that the answer in front of them is the answer they can act on. A broad network is not a luxury. It is the backbone of reliable verification.

Reduce workloads while you raise collections

Self-pay and Medicaid verification often fall to the bottom of a long list. When the platform runs checks automatically and flags only exceptions, staff workloads drop even as collections rise. Practices report a twofold reduction in verification tasks and reallocate front-office time to patient service. Leaders see fewer backfill hires and more attention to experiences that keep patients returning.

Turn eligibility into daily wins across specialties

Hospitals, health systems, and specialty practices use the same foundation in different ways. Orthopedics focuses on surgical estimates, ophthalmology leverages real-time vision versus medical decisions, and multi-specialty groups depend on a unified dashboard that standardizes payer responses. Multi-Factor Eligibility adapts to each setting with configurable workflows, yet it always pursues the same outcome. Verify quickly. Present accurately. Collect confidently.

 

 

“Multi-Factor Eligibility meets patients where they are and gets you paid.”

“Multi-Factor Eligibility meets patients where they are and gets you paid by checking Medicaid in real time, applying your self-pay rules, and removing barriers to collection,” the Clearwave team states. “The right eligibility engine supports patients and strengthens practices.”

See how fast you can switch

Moving eligibility is easier than leaders expect. Start by integrating scheduling checks, then add registration and point-of-service payments. Watch balances shrink and time return to your staff. Insurance eligibility software should feel like a daily win, and with Multi-Factor Eligibility, those wins begin on day one.

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