Decisive Health providestools to help providers collect medical bills upfront and reduce patient billing complaints. We provide upfront billing and health insurance eligibility checks, by analyzing thepatient’s health insurance coverage with the provider’scontracted negotiated rates.

Our mission is to empower patientsby enabling them to understand their medical bills and health insurance coverage, while helping providers collect medical bills at the time of service.

Currently, both providers and patients cannot determine their medical bills and health insurance coverage without calling the insurance carrier, often taking upwards toan hour. We solve this problem by helping patients and providersdetermine insurance eligibility instantly and medical bills at discharge.

We are able to provide tremendous benefit to all parties involved: patients, providers, and healthcare facilities.

Medical service providers, such as urgent care facilities, face problems with patient complaints due tobilling. Right now, providers cannot provide patients with an accurate bill when they leavethe medical facility. Bills go through the provider’s billing department, then to the patient’s insurance carrier, before the bill ismailed to the patient 6 months after they visited the doctor. In addition, most patients do not understand their health insurance coverage,making bills difficult to understand.

As bad as this is for patients, it is just as bad for medical providers. Historically, this convoluted billing process means thathospitals only manage to recoup10-20% of what patients owe on their bills.

In short, no easy way exists to instantly provide patients with a medical bill and explanation of their health insurance coverage.

Shouldnt there be a better way? At Decisive Health, we think so, which is why weve set up a platform that connects toall major insurance carriers and to the provider’s contracted negotiated rates, allowing bills to be instantly generated.

It started with a simple truth: Providers can instantly provide their patients with a bill and information about their health insurance benefits, thereby eliminating billing frustrations for both parties.We decided to bring this idea to scale andprovide a platform that connects providers to all major insurance carriers for instant information retrevial.

Were taking an industry that is currently fragmented between insurance carriers, billers, and providers, and connecting them together to provide upfront billing and health insurance eligibility information.

Decisive Health is a web platform whereproviders can eliminate billing frustrations by providing an accurate bill and explanation of health insurance benefits.

Provider facilities make moneycapturing revenue at the time of patient discharge, not six months later, andincreasing patient satisfaction byeliminating patient billing frustrations.

Decisive Health connects you to both the insurance carriers and your billing department so that you can provide your patients with up-to-date information about pricing and health insurance benefits.

We show you theprice you would pay if you go through your insurance company or if you choose to self-pay.

We provide you with an explanation of thepatient’s health insurance benefits: co-pay, remaining deductible, co-insurance, and out-of-pocket maximum.

By connecting to both the insurance carriers and provider’s contracted negotiated rates, we candetermine what portion of the bill is coveredby the insurance carrier and what portion will need to be covered by the patient.

Accurate billsmeans that you can collect payments from the patient at the time of discharge, not six months later.

Decisive Health was launched on August1st, 2015.

Within 2weeks, we signed-up 8 urgent care facilities in the San Francisco, CA, including the largest chain of urgent care facilities in the Bay Area.

We handle over 3000 patients a month and are growing.Since our launch, our usage has been increasingat an average rate of +49% month-over-month. Our revenues have been growing at +63% month-over-month.

We have received investments from Johns Hopkins Medicine, 500 Startups,the CEO of NerdWallet, Dreamit Ventures, and Launchpad Digital Health.

Physicians arent the only people taking notice of Decisive Health— weve been featured in several leading publications, including:

Up Next: Expand! We are movingbeyond San Francisco and are rapidly expanding into cities across the U.S.

In 2016, we plan to expand into other specialties such as primary careandOb/Gyn practices.