JSON twin: https://www.healthaidb.com/software/experian-patient-estimates.json
Experian Health
https://www.experian.com/healthcare/products/payment-tools/patient-billing-and-pay
Experian Patient Estimates is a web-based price-transparency and patient payment estimation tool that generates personalized out-of-pocket cost estimates using real-time benefit, payer-contracted rates, and provider pricing.
A solution from Experian Health that produces accurate, patient-specific estimates of liability (copays, deductibles, coinsurance) prior to or at point of service; supports self-service patient portals, printable/downloadable estimates, reporting on estimates run, and integration with revenue cycle workflows to improve collections and price transparency compliance.
yes
1996
US-based hosting (primarily US region)
P0585
2025-09-07
proprietary/commercial
Contact vendor for pricing, typically sold as part of Experian Health enterprise solutions or bundles; pricing available by quote; request demo/trial via vendor.
enterprise_quote
2016
product
1.0
{
"company_name": "Experian Health",
"company_url": "https://www.experian.com",
"company_offices": [
"United States",
"United Kingdom",
"Ireland",
"Brazil",
"India",
"Australia",
"Canada"
],
"company_founding": "1996",
"product_url": "https://www.experian.com/healthcare/products/payment-tools/patient-billing-and-pay",
"categories": [
"administrative",
"financial",
"patient-facing",
"revenue cycle management",
"price transparency",
"patient engagement",
"self-service"
],
"market_segment": [
"enterprise",
"smb"
],
"links": [
"https://www.experian.com/healthcare/products/payment-tools/patient-billing-and-pay",
"https://www.experian.com/content/dam/marketing/na/healthcare/brochures/patient-estimates.pdf",
"https://www.experian.com/healthcare/",
"https://www.experian.com/content/dam/marketing/na/healthcare/brochures/patient-estimates-medical-groups-product-sheet.pdf",
"https://www.experian.com/blogs/healthcare/how-patient-estimates-improve-healthcare-price-transparency-and-planning/",
"https://www.experian.com/blogs/healthcare/patient-payment-estimator/",
"https://www.experian.com/content/dam/marketing/na/healthcare/brochures/simplifying-healthcare-experian-health.pdf",
"https://www.experian.com/blogs/healthcare/patient-estimates-joins-the-athenahealth-marketplace/"
],
"summary": "Experian Patient Estimates is a web-based price-transparency and patient payment estimation tool that generates personalized out-of-pocket cost estimates using real-time benefit, payer-contracted rates, and provider pricing.",
"description": "A solution from Experian Health that produces accurate, patient-specific estimates of liability (copays, deductibles, coinsurance) prior to or at point of service; supports self-service patient portals, printable/downloadable estimates, reporting on estimates run, and integration with revenue cycle workflows to improve collections and price transparency compliance.",
"target_users": [
"hospital administrators",
"revenue cycle managers",
"patient financial counselors",
"billing and collections staff",
"schedulers/registrars",
"clinicians/providers (for shared decision-making)",
"patients/consumers"
],
"specialties": [
"hospitals and health systems",
"medical groups",
"ambulatory care/clinics",
"surgery centers",
"radiology/imaging",
"oncology",
"cardiology",
"orthopedics",
"primary care"
],
"regions_available": [
"United States"
],
"languages_supported": [
"English"
],
"pricing_model": "enterprise_quote",
"pricing_details": "Contact vendor for pricing, typically sold as part of Experian Health enterprise solutions or bundles; pricing available by quote; request demo/trial via vendor.",
"license": "proprietary/commercial",
"deployment_model": [
"SaaS"
],
"os_platforms": [
"Web",
"Mobile web"
],
"features": [
"Patient out-of-pocket cost estimation (copay, deductible, coinsurance)",
"Real-time payer rate and eligibility lookup",
"Mobile-friendly patient estimator widget/portal",
"Pre-service payment estimation and collection guidance",
"Estimate breakdown by service and CPT/charge code",
"Integration with patient scheduling/registration workflows",
"Estimate printable/emailed to patient",
"Support for self-service patient price transparency",
"Estimate accuracy adjustments using payer-specific rules",
"Reporting/analytics on estimates and collections"
],
"optional_modules": [
"Patient payment collection/checkout",
"Payment plan setup",
"Advanced analytics and benchmarking",
"EHR/registration workflow connectors"
],
"integrations": [
"athenahealth",
"Allscripts",
"Epic (via integrations/workflow connectors)",
"Cerner (via integrations/workflow connectors)",
"Practice management / billing systems",
"Payer eligibility systems"
],
"data_standards": [
"HL7 v2",
"X12 (270/271 eligibility and other transactions)",
"FHIR (emerging/support for modern integrations)"
],
"api_available": "yes",
"system_requirements": "",
"compliance": [
"HIPAA",
"HITECH",
"SOC 2"
],
"certifications": [],
"security_features": [
"Encryption in transit and at rest",
"Role-based access control (RBAC)",
"SSO / SAML support",
"Audit logging"
],
"privacy_features": [
"Business Associate Agreement (BAA) available",
"Patient-facing estimate disclosure controls"
],
"data_residency": "US-based hosting (primarily US region)",
"customers": [
"Banner Health",
"Blessing Health System",
"Yale New Haven Health",
"St. Clair Hospital",
"Northwell Health"
],
"user_reviews": [
"My good faith estimate was about $500. My final bill AFTER insurance close to $7000.",
"Experian Health showed multiple soft credit pulls on my file after a visit.",
"Hospitals' posted estimates often differ significantly from final bills; estimates can be misleading."
],
"ratings": [],
"support_channels": [
"email",
"phone",
"chat",
"ticketing",
"community"
],
"training_options": [
"documentation",
"webinars",
"live_online",
"onsite",
"certification"
],
"release_year": "2016",
"integration_partners": [
"athenahealth",
"Epic",
"Recondo",
"UST"
],
"id": "P0585",
"slug": "experian-patient-estimates",
"type": "product",
"version": "1.0",
"last_updated": "2025-09-07",
"links_json": {
"self": "https://www.healthaidb.com/software/experian-patient-estimates.json"
}
}