Estimates & compliance
Estimates & Transparency is where good-faith cost estimates and CMS-compliant price transparency come together. Estimates consume eligibility and benefit intelligence from Verify, then layer hospital pricing, contracts, and policy so patients see defensible numbers — the same foundation VestaPay uses to drive financial clearance and collections.
Logically, care flows Verify → Estimates & Transparency → when the estimate reflects what the patient truly owes, VestaPay can enroll them in a Dynamic Balance Adjusted AutoPay Plan that stays aligned as the account finalizes.
The logical sequence
Eligibility first, then estimates and transparency, then AutoPay when the amount is ready to collect.
Capture and validate coverage, benefits, and authorization context so downstream estimates are built on real eligibility — not guesses.
Generate patient-specific estimates and meet CMS display rules so the financial picture matches what VestaPay will use for clearance and payment plans.
Once the estimate is credible, enroll patients in a Dynamic Balance Adjusted AutoPay Plan that adjusts as the account finalizes.
CMS price transparency compliance
The CMS Hospital Price Transparency Rule requires hospitals to provide clear, accessible pricing information about the items and services they provide. Estimates & Transparency ensures you meet those requirements while the same data ecosystem supports accurate estimates for patients and staff.
Machine-Readable Files
Generate and maintain standard charges files in CMS-compliant formats
Consumer-Friendly Display
Present pricing information in a clear, searchable format for patients
Automated Updates
Keep pricing data current and synchronized with your charge master
Compliance Monitoring
Ensure ongoing compliance with CMS requirements and regulations
Key Capabilities
Accurate Cost Estimates
Generate precise, patient-specific cost estimates based on verified insurance benefits and hospital pricing
Transparent Pricing Display
Present pricing information in clear, understandable formats that help patients make informed decisions
Seamless Integration
Integrate with existing EHR and revenue cycle systems to pull accurate pricing data
Patient Portal Integration
Enable patients to access pricing information through web portals and mobile applications
Real-Time Updates
Automatically update pricing information as charge master and contract rates change
Ready to unify estimates & transparency?
Connect Verify eligibility to VestaPay-ready estimates, compliant displays, and AutoPay enrollment.