qualify-health

JSON twin: https://www.healthaidb.com/software/qualify-health.json

Company Name

Qualify Health

Product URL

https://qualify.health/product/

Company URL

https://qualify.health/

Categories

Summary

Cloud service that automatically sources and matches patient financial assistance (grants, foundations, co-pay cards) to hospital bills to reduce bad debt and recover revenue.

Description

Qualify Health is a no-code, pay-for-performance SaaS that scans thousands of financial assistance programs (including foundations, grants, co-pay cards and drug assistance), performs real-time and retroactive matches to patient accounts, enrolls patients, and obtains payments to reduce patient bad debt and improve revenue cycle outcomes. It integrates with hospital back-office/collections workflows, provides patient advocate support, and requires no upfront implementation fees.

Api Available

no

Certifications

Company Founding

2016

Company Offices

Compliance

Customers

Data Residency

Data Standards

Deployment Model

Features

Id

P1363

Integration Partners

Integrations

Languages Supported

Last Updated

2025-09-07

License

commercial proprietary

Links

Market Segment

Optional Modules

Os Platforms

Pricing Details

Pay-for-performance model (no upfront fees, zero implementation fee). Vendor is paid from recovered/secured funds; contact vendor for tiers and contract details; offers savings calculator and demo.

Pricing Model

enterprise_quote

Privacy Features

Ratings

Regions Available

Release Year

Security Features

Specialties

Support Channels

System Requirements

Target Users

Training Options

Type

product

User Reviews

Version

1.0

Canonical JSON

{
  "company_name": "Qualify Health",
  "company_url": "https://qualify.health/",
  "company_offices": [
    "United States"
  ],
  "company_founding": "2016",
  "product_url": "https://qualify.health/product/",
  "categories": [
    "administrative",
    "revenue cycle",
    "patient-facing",
    "health equity",
    "patient financial assistance"
  ],
  "market_segment": [
    "enterprise",
    "smb"
  ],
  "links": [
    "https://qualify.health/",
    "https://qualify.health/product/",
    "https://qualify.health/about/",
    "https://qualify.health/resource/qualify-health-product-one-pager/",
    "https://qualify.health/resources/",
    "https://qualify.health/privacy/",
    "https://trust.qualify.health/",
    "https://qualify.health/blog/",
    "https://qualify.health/contact/",
    "https://search.sunbiz.org/Inquiry/corporationsearch/SearchResultDetail?inquirytype=EntityName&searchNameOrder=QUALIFYHEALTH%20P220000941810"
  ],
  "summary": "Cloud service that automatically sources and matches patient financial assistance (grants, foundations, co-pay cards) to hospital bills to reduce bad debt and recover revenue.",
  "description": "Qualify Health is a no-code, pay-for-performance SaaS that scans thousands of financial assistance programs (including foundations, grants, co-pay cards and drug assistance), performs real-time and retroactive matches to patient accounts, enrolls patients, and obtains payments to reduce patient bad debt and improve revenue cycle outcomes. It integrates with hospital back-office/collections workflows, provides patient advocate support, and requires no upfront implementation fees.",
  "target_users": [
    "hospital administrators",
    "revenue cycle teams",
    "patient financial services/counselors",
    "pharmacy teams",
    "oncology care teams",
    "patients"
  ],
  "specialties": [
    "oncology",
    "pharmacy",
    "hospital medicine",
    "revenue cycle management",
    "patient financial services"
  ],
  "regions_available": [
    "United States"
  ],
  "languages_supported": [
    "English"
  ],
  "pricing_model": "enterprise_quote",
  "pricing_details": "Pay-for-performance model (no upfront fees, zero implementation fee). Vendor is paid from recovered/secured funds; contact vendor for tiers and contract details; offers savings calculator and demo.",
  "license": "commercial proprietary",
  "deployment_model": [
    "SaaS"
  ],
  "os_platforms": [
    "Web"
  ],
  "features": [
    "Automated financial assistance program sourcing and matching",
    "Retroactive eligibility matching",
    "Real-time monitoring of assistance programs",
    "No-code integration with provider workflows",
    "Patient enrollment/advocate support",
    "Back-office and collections submission",
    "Co-pay card and drug assistance matching",
    "Transportation and non-medical cost matching",
    "Savings calculator and ROI reporting",
    "White-glove patient advocacy services"
  ],
  "optional_modules": [],
  "integrations": [
    "No-code connectors for health system workflows (EHR/RC/collections) - unspecified vendors"
  ],
  "data_standards": [],
  "api_available": "no",
  "system_requirements": "",
  "compliance": [
    "SOC 2 (per Trust Center / Secureframe)",
    "HIPAA (asserted security and patient data protections)"
  ],
  "certifications": [
    "SOC 2 (via Secureframe)"
  ],
  "security_features": [
    "Encryption in transit",
    "Encryption at rest",
    "Encryption and key management policy",
    "Role-based / least-privilege access controls",
    "Unique user access IDs",
    "User access reviews",
    "Vulnerability and patch management",
    "Incident response plan and testing",
    "Backup and disaster recovery testing",
    "Continuous monitoring (Secureframe)"
  ],
  "privacy_features": [
    "Published privacy policy",
    "Data retention and disposal policy",
    "Production data use restrictions",
    "Access to customer data restricted",
    "Data classification policy"
  ],
  "data_residency": "",
  "customers": [
    "Baptist Health",
    "Thibodaux Regional Medical Center",
    "Ellis Medicine",
    "Forrest Health",
    "HaysMed",
    "Grady Health",
    "Monument Health",
    "Southwest Mississippi Regional Medical Center",
    "Terrebonne",
    "Woman's Health System"
  ],
  "user_reviews": [],
  "ratings": [],
  "support_channels": [
    "contact form",
    "LinkedIn"
  ],
  "training_options": [],
  "release_year": "",
  "integration_partners": [],
  "id": "P1363",
  "slug": "qualify-health",
  "type": "product",
  "version": "1.0",
  "last_updated": "2025-09-07",
  "links_json": {
    "self": "https://www.healthaidb.com/software/qualify-health.json"
  }
}