OverviewZOLL® AR Boost® is a real-time, cloud-based revenue cycle management (RCM) optimization suite that automatically finds, verifies, and corrects patient and payer data at the pre-billing stage. Designed for healthcare providers and billing teams, it increases collected revenue, reduces front-end administrative work, and improves the patient financial experience while integrating with existing staff and systems.
Key capabilities- Real-time RCM optimization to simplify, accelerate, and validate pre-billing workflows
- Automated discovery, verification, and correction of patient demographics and payer information before claims submission
- Provides actionable data to identify hidden coverage and convert presumed self-pay and high-deductible accounts
- Reduces claim denials caused by inaccurate or incomplete insurance information
- Supports batch queries and on-demand API requests for flexible integration
- Integrates with existing healthcare platforms via standard REST API or API with pre-built UI
- Extensive API technical support and developer documentation
Benefits- Maximize revenue capture per encounter from payers and patients
- Reduce front-end workload to accelerate the revenue cycle and redeploy staff to higher-value tasks
- Improve clean claim rate by resolving data issues early in the workflow
- Locate billable primary, secondary, and tertiary coverage while supporting No Surprises Act compliance
- Enable price transparency and patient financial counseling in accordance with federal rules
- Assess patient financial responsibility and improve self-pay collections through financial characteristic insights
- Automatically identify third-party coverage and payer sources for complex auto and workers' compensation claims
- Support for REST API, 270/271 response parsing, HL7 and other pre-built integrations; HIPAA-compliant and scalable
Included tools / solution suite- Insurance Discovery
- Demographic Verifier
- Insurance Verifier
- Third-party Liability Discovery
- Self-pay Analyzer
- Deductible Monitoring
- Claim Status
- Medicaid Redetermination
- MBI Discovery
- Retroactive Medicaid
Selected performance highlights- Prevents up to 66% of claim denials caused by inaccurate or incomplete insurance information
- Finds coverage for over 40% of presumed self-pay accounts
- Uses a proprietary 108-point algorithm to generate confidence scores for demographic verification and insurance discovery
Technical characteristics / specifications- Solution type: Real-time RCM optimization suite (cloud-based)
- Integration: Standard REST API or API with pre-built UI; supports batch requests
- Data interfaces: 270/271 responses, HL7, and other pre-built integrations
- Compliance: HIPAA compliant; supports No Surprises Act compliance and price transparency workflows
- Processing: AI-enhanced centralized processing with proprietary 108-point confidence algorithm
- Use cases: Pre-billing demographic verification, insurance discovery, deductible monitoring, claim status, Medicaid redetermination, retroactive Medicaid, third-party liability identification, self-pay conversion
- Developer resources: Comprehensive API technical support and developer documentation