How it works
Three outcomes for every client, from the first call to the last insurance dollar. ERO works with your EHR instead of replacing it.
1
Know what the client owes before admission
A live insurance check plus a hidden-usage estimate.
What's included
- Calls and online applications come in from your EHR.
- Real-time eligibility and benefits: deductible, out-of-pocket max, coinsurance and limits.
- Insurer data often lags by weeks. If a client just finished detox, ERO estimates how much of the deductible and out-of-pocket max is really used, and labels it as an estimate.
2
A signed plan, with payments set up
Financial agreement, plan, e-signature and built-in processing.
What's included
- A tested calculator builds the financial agreement; a reviewer confirms or corrects it.
- Payment plans come from your expense ratio and pre-approved terms. Approvers can approve, counter or decline.
- One e-signature packet: release, agreement, plan and payment authorization.
- Card on file and auto-draft through built-in processing. You choose whether the fee is passed through or absorbed.
3
ERO handles the billing from there
UR, claims, denials and posting by your ERO Billing team.
What's included
- Utilization review: authorizations and review dates tracked for every stay.
- Claims built and submitted, with denials worked, appealed or corrected.
- Insurance remittances and plan payments posted.
- Owners see projected profit, collections and money at risk on one dashboard.