Solutions important to medical debt recovery and compliance - Javier Alvarado Market Development, Collections June 18, 2021

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Solutions important to medical debt recovery and compliance - Javier Alvarado Market Development, Collections June 18, 2021
Solutions important to medical debt
recovery and compliance

Javier Alvarado
Market Development, Collections

June 18, 2021
                                  © 2021
                                      © 2021
                                         TransUnion
                                             TransUnion
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                                                                    Reserved
                                                                         Reserved
                                                                              | 1
Solutions important to medical debt recovery and compliance - Javier Alvarado Market Development, Collections June 18, 2021
8,000+                 75+                  30+
                     associates             offices            countries

           makes trust possible
   75,000+                 1 billion+                 90,000               65+ petabytes
business customers         consumer files             data sources           of information
Solutions important to medical debt recovery and compliance - Javier Alvarado Market Development, Collections June 18, 2021
TransUnion is a
 global information and insights company that

makes trust possible
   By ensuring each consumer is reliably
  and safely represented in the marketplace
Solutions important to medical debt recovery and compliance - Javier Alvarado Market Development, Collections June 18, 2021
Businesses: better understanding of consumers to make more informed decisions on
who to trust, and build the experiences that earn consumer trust

Consumers: more confident that their data identity is safely leveraged to get the
opportunities they deserve
Solutions important to medical debt recovery and compliance - Javier Alvarado Market Development, Collections June 18, 2021
Why TransUnion?
We’ve been in the business of

       trust
      for over 50 years
Solutions important to medical debt recovery and compliance - Javier Alvarado Market Development, Collections June 18, 2021
trust
                                       for over 50 years

Originally a credit     Decades of stewarding       Information and tech       Now we help
reporting agency        and analyzing information   fueled our expansion       organizations better
helping businesses      has given us a more         into areas like fraud      understand consumers
trust their customers   complete understanding      prevention, identity       so they can make more
and reduce risk         of data identity            verification, marketing,   informed decisions,
                                                    collections and more       and earn their trust
Businesses and consumers
can transact confidently and
   achieve great things
We call this Information for Good.
TransUnion makes trust possible

When you:                                          Consumers can:

Find more customers that are the                   Greater access to goods and
right fit, better serve, keep and                  services through capital and
collect from them, and reduce risk    Economic     financial assistance
                                     Opportunity

Deliver relevant, friction-right
                                                   Enjoy brand experiences that are
experiences and offers while
                                                   easy, safe, personal and timely
reducing fraud                          Great
                                     Experiences

Engage consumers with tools that                   Access their data and shape their
help them understand, monitor and                  own financial futures
manage their financial situation       Personal
                                     Empowerment

                          That’s Information for Good
We achieve this with an accurate and comprehensive
picture of each person, stewarded with care

                                   Unique data fusion methodology
                                  enables us to link, match and tap into
                                         the power of that data

        Foundation as a                                                        Knowledgeable
    credit reporting agency                                                  and passionate team
 lets us access both credit and                                            stewards that information
       public record data                                                   with expertise and care
How we do it
Identifiers                                   Traditional identifiers of 650M+
                                              consumers worldwide
Credible baseline identity info, online and   (Name, address, SSN, etc.)
offline, personal and device, in compliance
with local legislation around the world

                                              Digital identifiers from nearly
                                              6 billion consumer devices;
                                              97% of email addresses

                                              Phone numbers from 200+
                                              countries, and can assess
                                              the risk associated with each
How we do it
               Information                  Device activity       Events                  Public records
                                            •   Location          •   Marriage            •   Licenses
Added linked, proprietary and public data   •   Fraud patterns    •   Birth               •   Judgments
sources—as fresh as possible—for a multi-   •   Social media      •   Death               •   Criminal histories
layered understanding of that person        •   Purchases         •   Education           •   Violations

                                            Behaviors             Financial liabilities   Relationships
                                            •   Driving           •   Debt                • Household info
                                            •   Location          •   Payment histories   • Known associates
                                            •   Online activity   •   Collections         • Business ownership
                                            •   Purchases         •   Payment lending
                                                                  •   Rent-to-own
                                                                  •   Utility bills
                                                                  •   Rental payments

                                                                  Financial assets and capacity
                                                                  •   Bank accounts
                                                                  •   Insurance
                                                                  •   Property
                                                                  •   Autos
                                                                  •   Income
How we do it                                   Risk insights
                                               • Identify credit worthiness and predict
                                                 delinquency with greater accuracy

                                  Insights     • TU can identify 20M US consumers
                                                 classified as prime or near-prime, who are
                                                 worthy of super prime
Leverage analytics to create a meaningful
picture of each person and anticipate needs,   • Specialized risk database of 100B+
                                                 records, derived from 10,000+ sources
behaviors and potential risks

                                               Marketing insights
                                               • Help predict consumer behavior to
                                                 extend relevant and timely offers
                                               • TU customers often achieve 3-4x boost
                                                 in campaign performance

                                               Collections insights
                                               • Help customers monitor and manage
                                                 collections with greater efficiency
                                               • Trended data expertise taps into 200+
                                                 predefined consumer traits/behaviors

                                               Fraud insights
                                               • Better identify and even anticipate fraud
                                                 based on contextual red flags
                                               • Make confident decisions with TU’s access
                                                 to 1B+ consumer records, 6.5B+ devices
                                                 and 76M+ confirmed fraud reports
How we do it
                                                 Implementation
Delivery technologies seamlessly work together
to help implement info and insights, so people
can act quickly and easily

                                                                       Integrated capabilities for rapid,
                                             Apply Today               seamless deployment

                                                                       Implement with TU end-to-end or
Offer Available
                                                             Pay Now   plug into your system

                                                                       Provided with expertise—self-service,
                                                                       online or face-to-face
Market Overview – Q1 IPOV
Score shifts continue to provide more eligible
consumers for lenders serving the prime and above
market

                          35%

VantageScore® 3.0 risk ranges                                                                                  Totals may not equal 100 due to rounding
Subprime = 300–600; Near prime = 601–660; Prime = 661–720; Prime plus = 721–780; Super prime = 781-850         Source: TransUnion consumer credit database
                                                                                                         © 2021 TransUnion LLC All Rights Reserved | 17
Consumer participation continued to increase in Q1, but
at a declining rate as compared to previous years

                                                Source: TransUnion consumer credit database
                                          © 2021 TransUnion LLC All Rights Reserved | 18
Unsecured personal loans, card and HELOC balances
declined in Q1, while auto and mortgage continued to
climb

                      Total Balances by Product (B)         Source: TransUnion consumer credit database
                                                      © 2021 TransUnion LLC All Rights Reserved | 19
Auto and mortgage saw origination growth at the start
of Q1, while other products saw significant declines

                                             Source: TransUnion consumer credit database
                                          © 2021 TransUnion LLC All Rights Reserved | 20
Declines in delinquency totals have been driven by
government programs, lender assistance and refinance
savings

*Serious delinquency considered as 90+DPD for card, Mortgage and HELOC, 60+ DPD for all other products         Source: TransUnion consumer credit database
                                                                                                         © 2021 TransUnion LLC All Rights Reserved | 21
The number of consumers declaring bankruptcy has
been trending downward, but declined sharply in 2020

                                                Source: TransUnion consumer credit database
                                          © 2021 TransUnion LLC All Rights Reserved | 22
After seeing double-digit increases in prior years, charge-
         off compounded annual growth rate (CAGR) increased
         only 4%
                                      Composition of Charge-offs                                                                               CAGR
                                      Composition of(Q1)
                                                     Charge-offs (Q1)              LINE          2019           2020            2021           (‘19-’21)
                                  $250
                                   $180                                    Auto                  $55.5          $60.6           $60.4           4.3%
                  Balance(B)(B)

                                   $160                                    Bankcard
                                  $200                                                           $75.5          $84.9           $88.9           8.5%
                                   $140
       Charge-off Balance

                                                                           Private label         $13.4          $14.1           $14.1           2.8%
                                   $120
                                  $150                                     Mortgage               $6.8           $4.0            $2.6          -38.9%
 TotalCharge-off

                                   $100
                                                                           HELOC                  $3.9           $2.8            $2.1          -27.1%
                                    $80
                                  $100                                     Student loan           $6.4           $5.8            $4.9          -12.3%
                                    $60
                                                                           Personal loan (U)     $12.0          $14.2           $15.8          14.9%
Total

                                   $50
                                    $40
                                                                           Secured installment    $8.1           $8.2            $9.0           5.4%
                                    $20
                                                                           Other                  $7.4           $7.2            $6.5           -6.0%
                                    $0
                                     $0
                                          Q1
                                          Q1 2019
                                             2018    Q1
                                                     Q1 2020
                                                        2019    Q1
                                                                 Q1 2021
                                                                    2020   Total                 $189.0        $201.9          $204.2           4.0%
                                                                                                                Source: TransUnion consumer credit database
                                                                                                          © 2021 TransUnion LLC All Rights Reserved | 23
Charge-offs as a percentage of trades and
balances saw significant year-over-year declines

                                             Source: TransUnion consumer credit database
                                       © 2021 TransUnion LLC All Rights Reserved | 24
Collections Overview – Q1 IPOV
Active collection trade line volumes and balances
    have declined year-over-year
                                                             Active Collection Volume by Year
                               $250                                                                                                         300
                                                    $216                                      $211
                                             $204          $210                 $206   $203              $203
                                                                                                                    $193         $195       250
                               $200
Outstanding Receivables ($B)

                                                                                                                                                   Active Trades in Collections (M)
                                      $181                        $182

                                                                         $156                                                               200
                               $150
                                                                                                                                            150
                               $100
                                                                                                                                            100

                                $50
                                                                                                                                            50

                                 $0                                                                                                         0
                                      2010   2011   2012   2013   2014   2015   2016   2017   2018      2019        2020        2021

                                                                                                           Source: TransUnion consumer credit database
                                                                                                     © 2021 TransUnion LLC All Rights Reserved | 26
Active collection trade lines have been trending
       downward since Q1 2020
                                                          Active Third - Party Collections on File
                             $240                                                                                                           280

                                                                                                                                                    Active Trades in collections (M)
                                    260
                                                                                                                                            260
Oustanding Receivables (B)

                             $220                                             245
                                                         238                                       236
                                                                                                                                            240
                             $200                                                                                                  218
                                                                                                                                            220
                             $180                                                                                                           200

                             $160                                                                                                           180

                                                                                                                                            160
                             $140
                                                                                                                                            140
                             $120
                                                                                                                                            120

                             $100                                                                                                           100
                                    Q1    Q2   Q3   Q4   Q1    Q2   Q3   Q4   Q1    Q2   Q3   Q4   Q1     Q2      Q3      Q4       Q1
                                           2017                 2018                 2019                    2020                 2021
                                                                                                               Source: TransUnion consumer credit database
                                                                                                         © 2021 TransUnion LLC All Rights Reserved | 27
Medical / health care represents 60% of the active
collection trade lines in Q1 2021

    Composition of Trades in Collections
              (Q1 2021)

                     11%

                            12%

          60%
                              8%

                             5%
                           4%

                                                 Source: TransUnion consumer credit database
                                           © 2021 TransUnion LLC All Rights Reserved | 28
The average number of medical collections per
consumer is more than double that of any other asset
class
                     Average Number of Collections by Asset Class per Consumer
                                            (Q1 2021)
3.5
              3.0
3.0

2.5

2.0
                                   1.5
1.5                                              1.3
                                                                    1.2
                                                                                                      1.1
1.0

0.5

0.0
      Medical/Health Care   Banking/Financial   Retail         Cable/Cellular                      Utilities

                                                                                Source: TransUnion consumer credit database
                                                                       © 2021 TransUnion LLC All Rights Reserved | 29
More than half of all active collection consumers
    have more than one collection trade line
                                Number of Consumers with Multiple Collections (Q1 2021)
                          40
                                                                                                 ~77 million
                          35        34.0
                                                                                              consumers with a
Number of Consumers (M)

                          30                                                                 reported collection
                          25
                                                                                      19.8
                          20
                                                   14.5
                          15

                          10                                      8.7

                          5

                          0
                               1 COLLECTION   2 COLLECTIONS   3 COLLECTIONS      4+ COLLECTIONS
                                                                                    Source: TransUnion consumer credit database
                                                                              © 2021 TransUnion LLC All Rights Reserved | 30
Active collection trade lines in banking/financial have
increased slightly, while cable/cellular totals have
declined

                                       Active Third-Party Collections                                                               Active Third-Party Collections
                                        Financial/Banking            Cable/Cellular                                                      Financial/Banking              Cable/Cellular
                                        Medical/Health Care          Retail                                                              Retail                         Utilities
                                        Utilities                    Other                                                               Other

                            180                                                                                           40

                                                                                              Trades in Collections (M)
Trades in Collections (M)

                            160                                                                                           35
                            140                                                                                           30
                            120                                                                                           25
                            100
                                                                                                                          20
                             80
                             60                                                                                           15
                             40                                                                                           10
                             20                                                                                            5
                              0                                                                                            0
                                  10

                                       11

                                            12

                                                 13

                                                      14

                                                           15

                                                                16

                                                                     17

                                                                          18

                                                                               19

                                                                                    20

                                                                                         21

                                                                                                                               10

                                                                                                                                    11

                                                                                                                                         12

                                                                                                                                              13

                                                                                                                                                     14

                                                                                                                                                           15

                                                                                                                                                                 16

                                                                                                                                                                       17

                                                                                                                                                                              18

                                                                                                                                                                                     19

                                                                                                                                                                                          20

                                                                                                                                                                                                 21
                              20

                                   20

                                         20

                                              20

                                                   20

                                                        20

                                                              20

                                                                   20

                                                                        20

                                                                              20

                                                                                   20

                                                                                        20

                                                                                                                           20

                                                                                                                                20

                                                                                                                                      20

                                                                                                                                            20

                                                                                                                                                   20

                                                                                                                                                         20

                                                                                                                                                              20

                                                                                                                                                                     20

                                                                                                                                                                           20

                                                                                                                                                                                    20

                                                                                                                                                                                         20

                                                                                                                                                                                              20
                                                                                                                                                        Source: TransUnion consumer credit database
                                                                                                                                                  © 2021 TransUnion LLC All Rights Reserved | 31
From a balance perspective, collection trade lines in the
financial/banking sector continue to trend higher

                                 Active Third-Party Collection Balances                                                                     Active Third-Party Collection Balances
                                           Financial/Banking           Cable/Cellular                                                                 Financial/Banking            Cable/Cellular
                                           Medical/Health Care         Retail                                                                         Retail                       Utilities
Outstanding Receivables ($B)

                                                                                                       Outstanding Receivables ($B)
                                           Utilities                   Other                                                                          Other
                               $120
                                                                                                                                      $45
                               $100                                                                                                   $40
                                                                                                                                      $35
                                $80
                                                                                                                                      $30
                                $60                                                                                                   $25
                                                                                                                                      $20
                                $40
                                                                                                                                      $15
                                $20                                                                                                   $10
                                                                                                                                       $5
                                 $0
                                                                                                                                       $0
                                      10

                                           11

                                                 12

                                                        13

                                                             14

                                                                  15

                                                                       16

                                                                            17

                                                                                 18

                                                                                        19

                                                                                             20

                                                                                                  21

                                                                                                                                            10

                                                                                                                                                 11

                                                                                                                                                      12

                                                                                                                                                           13

                                                                                                                                                                14

                                                                                                                                                                       15

                                                                                                                                                                             16

                                                                                                                                                                                   17

                                                                                                                                                                                          18

                                                                                                                                                                                                19

                                                                                                                                                                                                       20

                                                                                                                                                                                                               21
                                  20

                                       20

                                               20

                                                       20

                                                            20

                                                                 20

                                                                      20

                                                                           20

                                                                                20

                                                                                     20

                                                                                          20

                                                                                               20

                                                                                                                                        20

                                                                                                                                              20

                                                                                                                                                   20

                                                                                                                                                         20

                                                                                                                                                               20

                                                                                                                                                                    20

                                                                                                                                                                           20

                                                                                                                                                                                 20

                                                                                                                                                                                       20

                                                                                                                                                                                               20

                                                                                                                                                                                                    20

                                                                                                                                                                                                              20
                                                                                                                                                                Source: TransUnion consumer credit database
                                                                                                                                                         © 2021 TransUnion LLC All Rights Reserved | 32
There is a slight uptick in Q1 2021 paid/settled
             collection trade line volumes
                                                                    Paid Collection Volume by Quarter
                                   $16                                                                                                               25
Collection Placement Amount ($B)

                                   $14

                                                                                                                                                          Trades in collections (M)
                                                                                                                                                     20
                                   $12

                                   $10                                                                                                               15
                                   $8

                                   $6                                                                                                                10

                                   $4
                                                                                                                                                     5
                                   $2

                                   $0                                                                                                                0
                                         Q1   Q2          Q3   Q4      Q1    Q2          Q3   Q4   Q1   Q2          Q3         Q4          Q1
                                                   2018                           2019                       2020                        2021
                                                                                                                    Source: TransUnion consumer credit database
                                                                                                             © 2021 TransUnion LLC All Rights Reserved | 33
There is a decline in paid/settled collection volume in
  cable/cellular and utilities due to state restrictions

                                      Settled Collection Volume
$700,000

$600,000

$500,000

$400,000

$300,000

$200,000

$100,000

     $0
           Cable/Cellular   Medical/Health Care        Retail             Utilities              Banking/Financial
                                         Q1 2020   Q4 2020      Q1 2021               Source: TransUnion consumer credit database
                                                                               © 2021 TransUnion LLC All Rights Reserved | 34
The percentage of disputes increased even though
there is a decline in collection trade lines
                                                    Collection Dispute Rate v. Trade Line Volume
                                                               Active Collections     % of Collections Disputed
                            260                                                                                                                              9.0%

                                                                                                                                                   7.6%      8.0%
Trades in Collections (M)

                            240
                                                                                                                                                             7.0%
                            220                                                                                   5.9%
                                                                                                                                                             6.0%
                                                                                    4.9%
                            200                                                                                                                              5.0%
                                                        4.3%
                                                                                                                                                             4.0%
                            180   3.1%
                                                                                                                                                             3.0%

                            160                                                                                                                              2.0%
                                  Q1     Q2   Q3   Q4   Q1       Q2     Q3     Q4   Q1     Q2     Q3    Q4        Q1      Q2      Q3       Q4       Q1
                                          2017                     2018                      2019                           2020                   2021

                                                                                                                         Source: TransUnion consumer credit database
                                                                                                                   © 2021 TransUnion LLC All Rights Reserved | 35
Credit-originated collection trade lines are disputed at a
                higher rate than non-credit collection trade lines

                                      Active Disputes in Collections
                                                                                            Asset Class                         Volume
                         16%
                                                                                                                               (Q1-2021)
                         14%
Dispute Percentage (%)

                                                                                           Medical/Health
                         12%                                                                                                   6,008,253
                                                                                               Care
                         10%

                         8%                                                               Financial/Banking                    3,583,442
                         6%

                         4%                                                                    Retail                          2,051,062
                         2%

                         0%                                                                Cable/Cellular                      1,381,161
                               Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1
                               2016     2017        2018        2019        2020   2021        Utilities                         616,638
                                                                                                     Source: TransUnion consumer credit database
                                                                                               © 2021 TransUnion LLC All Rights Reserved | 36
Workflow and Solutions
© 2021 TransUnion LLC All Rights Reserved | 38
© 2021 TransUnion LLC All Rights Reserved | 39
© 2021 TransUnion LLC All Rights Reserved | 40
About TransUnion Healthcare

• Revenue Protection® Solutions
• Serves more than 1,850 hospitals and health systems
• Partners with more than 85 healthcare companies
• Reaches over 550,000 physicians and other providers across the U.S.
• Maintains connectivity to more than 880 payers, covering 98% of U.S. insured
  lives
• Processes over 10 million transactions each day through its insurance
  clearinghouse

                                                        © 2021 TransUnion LLC All Rights Reserved | 41
Improve patients' financial experience and optimize payment
strategies by assessing their unique financial situations
Patient financial responsibility continues to skyrocket. Almost a quarter of
insured adults, or 31 million people, are now considered underinsured and lack
the ability to fund their care 1

                                                        © 2021 TransUnion LLC All Rights Reserved | 42
© 2021 TransUnion LLC All Rights Reserved | 43
Patient Financial Clearance Solutions

                                        © 2021 TransUnion LLC All Rights Reserved | 44
Propensity to Pay
  Optimize collections strategy by segmenting patient
  accounts into the appropriate workflow

          § Increases collections through the accurate classification of
            accounts into the optimal payment workflow.

          § Increases patient satisfaction by helping providers set up
            payment plans based on the patient’s unique financial situation.

          § Reduces costs by improving billing staff efficiency through the
            use of more intelligent follow-up strategy recommendations on
            patient bills based on ability and willingness to pay.

                                                            © 2021 TransUnion LLC All Rights Reserved | 45
Propensity to Pay
             INCLUDED DATA                          USE CASE                               DELIVERY

§ Available Credit                  § Provides scores and additional    § Delivery options:
§ New Account Score                   credit report details to            Real-time (FCH XML) and
§ Recovery Score                      determine patients’ ability and     Batch
§ FICO Score (optional add-on)        willingness to pay, enabling
§ Deceased Information                more accurate account
                                      segmentation and payment
§ Bankruptcy Information (add-on)
                                      collection strategies.
§ Mortgage Indicator
§ Propensity to Pay Status          § Can be used on Front and Back
  (Configurable)                      end
§ Employment Records (add-on)
§ Trade lines (add-on)
§ Public Records (add-on)
§ Collections Records (add-on)

                                                                          © 2021 TransUnion LLC All Rights Reserved | 46
CreditVision Propensity to Pay
             INCLUDED DATA                          USE CASE                                DELIVERY

§ Available Credit                  § Provides scores and additional    § Delivery options:
§ CreditVision New Account Score      credit report details to            Real-time (FCH XML) and Batch
§ CreditVision Medical Recovery       determine patients’ ability and
  Score                               willingness to pay, enabling
§ Vantage Score 4.0                   more accurate account
§ Deceased Information                segmentation and payment
                                      collection strategies.
§ Bankruptcy Information (add-on)
§ Mortgage Indicator                § Can be used on Front and Back
§ Propensity to Pay Status            end
  (Configurable)
§ Employment Records (add-on)
§ Trade lines (add-on)
§ Public Records (add-on)
§ Collections Records (add-on)

                                                                         © 2021 TransUnion LLC All Rights Reserved | 47
Why CreditVision?
CreditVision New Account Score consistently beats traditional credit scores at
assessing risk and future performance on new accounts.

Traditional tradeline information     Enriched tradeline information

                                                       © 2021 TransUnion LLC All Rights Reserved | 48
Propensity to Pay Key Metrics
Name                       Description
                           Displays the amount of revolving credit available on credit cards that can be
Available Credit
                           used to pay for patient responsibility amounts.
                           Identifies patients who are likely to become 90 or more days delinquent on a new
                           account within a 24-month period.
New Account Score
                           *CreditVision Package utilizes trended credit data to take into account the
                           trajectory of borrower behaviors
                           Determines the likelihood of collecting $50 or more within 12 months.
Recovery Score
                           *CreditVision Package utilizes trended credit data to take into account the
                           trajectory of borrower behaviors
                           Assesses a patient’s risk of becoming 90 or more days delinquent within a 24-
FICO Classic Score
                           month period.
                           Uses trended credit data to assess a patient’s risk of becoming 90 or more days
Vantage Score 4.0
                           delinquent within a 24-month period.
                           Compares Propensity to Pay metrics against end-user defined thresholds and
Propensity to Pay Status
                           returns a status message, such as Collect in Full.

                                                                              © 2021 TransUnion LLC All Rights Reserved | 49
Propensity to Pay
 Empowers providers with the data and decisioning tools to make objective propensity to pay
 decisions—and collect more

                                                                 Optional upgrades
TransUnion New Account Score:                   § FICO score                                Returns a configurable Propensity to
                                                § Recovery Score                            Pay Message:
§ Identifies new patients who are               § Parsed data from four sections of the
  likely to become 90 or more                                                               § Provides the user with data to
                                                  credit report: Employer Name, Trade         process the account
  days delinquent                                 Lines, Collections, and Public Records
§ 150-950 score range                                                                       § Messages display according to
§ High score = low risk                                                                       end-user pre-set thresholds for
                                                                                              available credit and the credit
                                    Displays total amount of                                  scores
                                    revolving credit available

                                                                                           © 2021 TransUnion LLC All Rights Reserved | 50
Propensity to Pay Metrics: Point-of-Service
  Determine the optimal payment workflow for accounts

    Account                                 Recovery           New Account       Active
                      Available Credit                                                          Propensity to Pay Status
    Number                                   Score                Score         Mortgage

D04010931                     $14,954          800                 840             NO      Collect in full at time of service
 Configure Propensity to Pay status messages according to your customers’ collection
D04001745                    $39,817
 policies. The following can be                632rules:
                                factored into the                  632             NO      Collect in full at time of service

 - Available Credit
D04009798                     $20,507 - TU New Account Score 773
                                             773                                   NO      Collect in full at time of service
 - Mortgage Presence                     - TU Recovery Score
D04004034                     $30,207           674                674             NO      Collect in full at time of service

D04006259                      $8,065          663                 663             NO      Offer discounts / payment plan

D04022243                      $8,100          605                 662             NO      Offer discounts / payment plan

D04003681                      $2,721          603                 663             NO      Offer discounts / payment plan

D04005683                      $3,091          600                 606             NO      Offer discounts / payment plan

D04008974                      $3,601          500                 502             YES     Offer discounts / payment plan

D04019111                         $12          378                 478             NO      Screen for Medicaid / Charity

D04006047                          $0          358                 458             NO      Screen for Medicaid / Charity

D04006681                         $47          392                 492             YES     Screen for Medicaid / Charity

D04004359                          $0          352                 437             NO      Screen for Medicaid / Charity

                                                                                                              © 2021 TransUnion LLC All Rights Reserved | 51
Financial Aid
  Use an objective, consistent method to identify patients
  who are eligible for financial assistance

           § Reduces bad debt by identifying charity care-eligible patients
             upfront

           § Streamlines financial counseling by screening your patients’
             likelihood to qualify for financial assistance

           § Documentation support for IRS 501(r) reporting requirements

                                                            © 2021 TransUnion LLC All Rights Reserved | 52
Financial Aid
              INCLUDED DATA                           CAPABILITIES                                DELIVERY

§ Estimated Federal Poverty Level       § Scoring models:                     § Delivery options:
  (FPL)                                   Leverages multiple decisioning        Real-time (FCH XML) and Batch
                                          models to deliver income
§ Estimated Household Size                estimates to support charity care
§ Estimated Minimum Household             determination and compliance
  Income                                  with 501(r) requirements

§ Financial Aid Status (Configurable)   § Hybrid model:
                                          Includes both credit-based and
                                          community-based models
                                        § Community-based model:
                                          Uses non-credit data, including
                                          public records, to deliver
                                          household income estimates for
                                          patients with thin or no credit
                                          history

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Financial Aid Key Metrics

      Metric                                        What Does It Mean?

Federal Poverty    Helps to determine the patient’s financial situation relative to the federal government’s
Level (FPL) %      standard for indigence.
Estimated
                The minimum monthly estimate is determined by analyzing individual level credit
Minimum Monthly
                characteristics from the guarantor’s credit file OR by returning Community-based data
Income
Estimated          The estimate is determined by analyzing individual level credit characteristics from the
Family Size        guarantor’s credit file OR by returning Community-based data

                   Indicates the patient’s estimated monthly income that is not dedicated to debt
Residual Income
                   obligations.
Financial Aid
                   Compares Financial Aid metrics against end-user defined thresholds and returns a
Status
                   status message, such as Meets Charity Guidelines.

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Financial Aid can leverage multiple decisioning models
to produce the best results

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Financial Aid
Facilitates an objective, consistent method for identifying patients who are eligible
for financial assistance

                                             Estimated Household Monthly Income and Size
                                             § Calculated using individual level credit characteristics from a
                                               consumer’s credit file OR the Community-Based Model

                                             Residual Income
                                             § Estimated monthly income that is not dedicated to debt
                                               obligations

                                             % of Federal Poverty Level (FPL)
                                             § Determines the patient’s financial situation relative to the
                                               federal government’s standard for indigence

                                             Returns a configurable Financial Aid Message:
                                             § Provides the user with data to help qualify patients for financial aid
                                             § Messages display according to end-user’s financial aid thresholds.

                                                              Optional upgrades

                                             § Community-based decisioning model that uses
                                               public records data sources (may be cascaded
                                               from thin or no-hit credit-based model)
                                                                                              © 2021 TransUnion LLC All Rights Reserved | 56
Financial Aid Metrics

    Segment accounts for presumptive charity care using credit and community-based models
                            Min.                  Debt to                     Percent of
Hospital     Account                   Family                  Residual
                         Monthly HH               Income                   Federal Poverty        Financial Aid Status              Hit        FPL Model
Charges      Number                     Size                   Income
                          Income                   Ratio                     Level (FPL)
 $525.00    D04007296        $1,100         2                                       85.11%   Complete FA App / PE Charity            Y       comm-based

 $188.65    D04004380          $800         1                                      83.55%    Complete FA App / PE Charity            Y       comm-based

 Determine presumptive charity
 $400.00 D04008992      $1,246 care based
                                     2    on30.00
                                             FPL% $436.33                          96.45%    Complete FA App / PE Charity            Y       credit-based

 $597.00    D04000053        $1,700         4         17.88     $349.00            86.62%    Complete FA App / PE Charity            Y       credit-based

 $440.91    D04003583        $2,333         2         30.00     $816.67            180.53%   Needs-Based Discounting                 Y       credit-based

$3,403.10   D04006259        $1,710         1                                      178.59%   Needs-Based Discounting                 Y       comm-based

 Configure  FPL ranges and
  $277.27 D04021577         status message
                          $1,823      1     according  to your
                                               30.00 $1,276.33         190.43%               Needs-Based Discounting                 Y       credit-based
 customers’ financial assistance policy. The following can be factored
$1,300.00  D04013397
 into the rules:          $4,790      4        30.00   $838.25         244.08%               Discount to Sliding Scale               Y       credit-based

  $76.71         - FPL%
            D04009547             - Mortgage
                             $4,353       3 Presence
                                                30.00         $1,015.78            267.49%   Discount to Sliding Scale               Y       credit-based

  $35.80    D04008210        $2,943         2         30.00   $1,030.17            227.72%   Discount to Sliding Scale               Y       credit-based

 $122.61    D04011388        $8,373         4         30.00   $1,465.33            426.67%   Pursue Payment Arrangement              Y       credit-based

 $175.50
Use         D04001745
    credit-based            $14,483
                 and/or community-based    4 to help30.00
                                        models               $2,534.58
                                                     financially assess patients     738%    Pursue Payment Arrangement              Y       credit-based

  $75.00    D04007387        $5,803         2         30.00   $2,031.17              449%    Pursue Payment Arrangement              Y       credit-based
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Blended Collection Status
  For clients who use FA + P2P, we offer a blended status message

 Blended Collection Rules:
• FPL %
• Mortgage Presence                          Single configurable status
• New Account Score                          message with FA and P2P
• Recovery Score                             elements combined
• Available Credit

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Soft vs. Hard Inquiry
    Credit inquiries are records created when your credit information
    is reviewed. Credit inquiries are classified as either "hard
    inquiries" or “soft inquiries”

•    Hard inquiry
       • When a business views your credit report in connection with an application for credit or a loan, a
            hard inquiry appears on your credit report and may have an effect on your credit score

•    Soft inquiry
       • When a business views your credit report for most other reasons, such as to make a pre-
            approved credit offer, a soft inquiry appears on your credit report that is not seen by others. Soft
            inquiries may occur without your permission, but they do not have an impact on your credit score

TransUnion’s revenue cycle solutions use soft inquiries for the purpose of determining a
consumer’s ability to pay or likelihood to qualify for financial assistance

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Community-Based Financial Aid
  A charity screening solution that uses non-credit, public records data sources to
  identify patients who may be eligible for charity care or payment assistance

§ Delivers patient financial estimates     Block Group: Zip + 4
  based on demographic data from
  public records                                                              Block Group is
§ Uses block groups, which are                                                found by linking
  geographical units used by the U.S.                                         zip+4 with latitude /
  Census Bureau that contain:                                                 longitude
                                                                              coordinates
  – Average Household Income
  – Average Household Size
§ Calculates FPL% using block group
  data                                                     Region by Zip
                                                           (WITHIN A STATE)
§ Block groups typically have a
  population of 600 to 3,000 people
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Scoring Model Attributes

                              ATTRIBUTE     COMMUNITY MODEL             CREDIT MODEL
                              Data Source     Non-credit data               Credit data
FINANCIAL AID
Estimated Household Income                          X                                X
Residual Income                                                                      X
Estimated Family Size                               X                                X
Debt to Income Ratio                                                                 X
FPL percentage                                      X                                X
Configurable Financial Aid Status Message           X                                X

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