PNC Healthcare

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Solutions and advisory services for healthcare providers and payers

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Why PNC Healthcare?

Millions of patients. Hundreds of insurance plans. Rising healthcare costs. Inefficient claims remittance processes.

At PNC, we have taken a unique approach to helping healthcare providers and payers minimize administrative costs and maximize cash flow. 

By combining leading clearinghouse capabilities with premier treasury management services, and over 25 years experience working with healthcare payers and providers, PNC provides a full array of integrated solutions to improve the healthcare revenue cycle. We call it the PNC Healthcare Advantage. 

People, Process & Technology

PNC's healthcare experts understand patient billing, finance and technology - after all, we have worked with more than 1,900 healthcare organizations across the country, including payers (2,000 plus connections), providers, pharmacies, Medicare fiscal intermediaries and government agencies. We also provide implementation specialists and an online portal to help automate the revenue cycle and facilitate payer/provider relationships.

Are you a Private Practice?

PNC also offers extensive cash flow options and targeted banking tools and resources to help effectively manage your revenue cycle. To learn more about private practice solutions, visit


PNC Continues to Achieve

EHNAC Financial Services Accreditation.

EHNAC Accredited FSAP EHNMaryland Health Care CommissionEHNAC Accredited FSAP LockboxHIPAA EDIFECS Certified CapableCertified Core Vendor Product


Revenue Cycle Automation PNC Healthcare

Revenue Cycle Automation

You, as a Provider, are facing increasing financial challenges, and protecting revenue is critical. Revenue Cycle Automation solutions help to automate the work flow and the management of your revenue cycle workload. Using Revenue Cycle Automation, you can improve both front-end patient access management activities and back-end denial management processes by applying real-time business rules to the data.



Access Guardian

Access Guardian PNC Healthcare

Access Guardian can help you reduce denied claims and the associated rework.

Patient Estimator

Patient Estimator PNC Healthcare

Patient Estimator allows your staff to give patients written estimates of their expected out-of-pocket responsibility.

Denial Challenger

Denial Challenger PNC Healthcare

Denial Challenger provides a rules-based workflow platform that helps you automate follow-up on active receivables and claim denials.


For Ideas, Insight and Solutions from PNC Healthcare, please visit the Video Library.

Solutions for Healthcare Providers
Solutions for Health Insurance Payers
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PNC Healthcare Newsletter: Market Matters

Spring 2016

Veterans Health Administration (VHA) Teams With PNC to Reduce Administrative Costs
In an industry where only 56% of aggregate claims are paid electronically[1], the Veterans Health Administration’s eBusiness Solutions team receives more than 85% of its claim payments via Electronic Funds Transfer (EFT). Like the veterans it serves, VHA has achieved its goals through a disciplined approach to its mission.

Beginning in 2003, with PNC’s help, the eBusiness Solutions team began a focused outreach campaign to maximize enrollment of insurance payers for electronic claim payments and remittances (835s).

PNC Epic Case Histories Demonstrate Measurable Improvements
More than 60 Epic clients, representing 20 health systems, presented case studies on Epic integration, shared information and networked with peers in the healthcare industry. During the forum, Penn Medicine presented a detailed case study showing how they automated cash reconciliation by implementing the Epic Cash Management module using custom lockbox files from PNC.

Important Legal Disclosures and Information

  1. U.S. Healthcare Efficiency Index (2013, revised May 2014), p. 18.

PNC is a registered mark of The PNC Financial Services Group, Inc. (“PNC”)

Banking and lending products and services, bank deposit products, and treasury management services, including, but not limited to, services for healthcare providers and payers, are provided by PNC Bank, National Association, a wholly-owned subsidiary of PNC and Member FDIC.

CAQH CORE®, the CORE-certification/Endorser Seals and logo are registered trademarks of CAQH® Copyright 2016, Council For Affordable Quality Healthcare®. All rights reserved.