PAYER INTEGRATION FOR COST ESTIMATES

Accurate cost estimates that patients actually pay.

A patient cost-estimation platform deployed across large hospital systems.

50% → 94%
Estimate accuracy
THE CHALLENGE

Estimates were only as good as the data underneath.

Their cost estimates were built on stale fee schedules and clearinghouse 270/271 calls that miss real-time deductible and out-of-pocket status. Patients walked away from procedures over surprise bills. Hospitals wrote off a meaningful share of estimates as bad debt.

Manual payer-portal lookups did not scale to the volume their hospital customers needed. Every payer had a different login, a different shape of response, and a different set of edge cases.

HOW WE PARTNERED

How we partnered.

We delivered real-time eligibility, benefits, deductible and out-of-pocket status, and prior-authorization requirements through one platform across UnitedHealthcare, Aetna, Cigna, BCBS, Humana, and the rest of their payer mix. Same call, same shape, every payer.

Estimates went from rough approximations to numbers patients trust. Pre-procedure collections climbed. The bad-debt line item came down.

What Hubble delivered

  • Real-time eligibility, benefits, and prior-auth across major payers
  • Deductible and out-of-pocket status (not just coverage flags)
  • Normalized response shape across the payer network
  • Browser retrieval for the portals without modern APIs
THE IMPACT

What changed after Hubble.

50% → 94%
Patient cost estimate accuracy
+38%
Lift in pre-procedure collections
50% cut
Bad-debt write-offs on patient responsibility

Want results like this?

Bring a use case. We will walk through how it maps to the platform.