ELIGIBILITY SCREENING SERVICES, LLC

What ELIGIBILITY SCREENING SERVICES, LLC does

Eligibility Screening Services, LLC (operating as ESS Connection) is a Franklin, Tennessee-based patient advocacy and eligibility screening firm founded in 2009 and structured as a wholly-owned subsidiary of Community Health Systems Professional Services Corporation, the professional services arm of Community Health Systems (CHS). The company's core function is to screen uninsured and underinsured individuals for eligibility across a broad catalog of federal, state, and county healthcare assistance programs — including the Health Insurance Marketplace, Health Premium Tax Credits, CHIP, multiple Medicaid variants (Children's, Pregnancy-related, Family, Emergency, Medically Needy, Blind/Aged/Disabled), Medicare, Veterans Affairs, Crime Victim Services, Social Security Disability, Indian Health Service, and county indigent funds — and then assist those patients with the application process. When funding is secured, ESS also notifies other treating providers whose bills may be covered, creating a coordination function that reduces bad debt across a patient's care team.

The business operates on a B2B2C model. Hospitals, doctors, and other healthcare facilities contract with ESS to provide patient financial assistance services to their uninsured populations, and individual patients also reach the company directly through its toll-free line (1-800-353-1380) and essconnection.com website. The service is delivered primarily via telephone during extended weekday hours, with Spanish-language support broadening accessibility. ESS is HIPAA-compliant per its published Terms of Use and follows the parent entity's Notice of Privacy Practices. The company has approximately 32 employees, serves patients across the United States (explicitly excluding international cases), and does not disclose pricing or revenue.

Underlying technology is not publicly described beyond the informational website and telephony infrastructure; there is no evidence of proprietary software, AI, or integration platform. The go-to-market is essentially a call-center-based professional services operation that monetizes through healthcare facility contracts, with the CHS parent serving as both corporate parent and likely largest distribution channel. The company's competitive differentiation rests on domain expertise across complex, fragmented public benefit programs rather than on technology or scale.

Name

ELIGIBILITY SCREENING SERVICES, LLC

Legal name

Eligibility Screening Services, LLC

Website

https://essconnection.com

Company type

Private

Operating status

Operating

Headcount range

11–50 employees

Short description

Eligibility Screening Services, a subsidiary of Community Health Systems Professional Services Corporation, helps uninsured and underinsured individuals identify and apply for federal, state, and county programs that cover medical bills, serving healthcare facilities and patients via phone-based eligibility screening and application assistance.

Ownership category

akta.pro rank

Product category

Healthcare Eligibility Screening and Patient Financial Assistance Services

NAICS

Individual and Family Services (6241), Social Assistance (624)

SIC

Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Eligibility, Enrollment & Benefits Administration (HLAEALAH)

akta.pro secondary industries

Eligibility & Benefits Verification (HLACACAD), Healthcare-Linked Social Benefits Administration (e.g., Medicaid/Means-Tested Health Coverage) (BPAIAKAH)

Keywords

• Medical bill assistance
• Eligibility screening services
• Patient advocacy services
• Healthcare program enrollment
• Uninsured patient services

Headquarters

HQ city

Franklin

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

1. Eligibility Screening Services: ESS provides patient advocacy and program eligibility screening services to help individuals locate and apply for government and community programs that can cover medical bills. Revenue is generated through service agreements with healthcare facilities (hospitals, doctors) who contract with ESS to assist their uninsured or underinsured patients. The company also coordinates with healthcare providers to notify them when funding is obtained for patients.

Go-to-market motion1 record

Distribution channels2 records

Marketing channels1 record

Core offering

Eligibility Screening Services, LLC provides patient advocacy and eligibility screening services that help individuals locate federal, state, and county programs capable of covering their medical bills. The company assists with the program application process, helps patients access care by identifying funding sources, and notifies other healthcare providers when funding is obtained that may also cover bills with those providers. Services are delivered via a toll-free call center, the company website, and referrals from contracted healthcare facilities.

Product overview

Eligibility Screening Services, LLC offers a single core service focused on medical bill funding assistance. The company specializes in locating federal, state, and/or county programs that will cover medical bills, assisting with the program application process, and helping patients get access to care by finding funding sources for medical needs. The company also coordinates with doctors when funding is obtained that may cover bills with other healthcare providers.

Differentiator

Problem solved

Functional benefit

Products and services

• Eligibility Screening Services - Medical Bill Funding Assistance A service that helps individuals locate and apply for federal, state, and county programs that can cover their medical bills, including assistance with the application process and coordinating with other healthcare providers when funding is obtained. Delivered to patients through healthcare facility referrals and direct outreach via the company's toll-free line and website.

Segments2 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Community Health Systems Professional Services CorporationparentOthersParent corporate entity that owns and operates Eligibility Screening Services, LLC. Based at the same address (4000 Meridian Blvd, Franklin, TN). Contact phone is (615) 465-7000. The Terms of Use indicate the service is provided by Community Health Systems Professional Services Corporation.

Recent moves4 records

Expansion highlights3 records

Broad incumbents

• Firstsource Solutions: Global BPO provider with US healthcare eligibility and patient-access services, including screening uninsured patients for Medicaid and charity programs. Comparable at the service-model level though much larger.
• Maximus: Operates large-scale government health and human services programs, including Medicaid eligibility and enrollment on behalf of state agencies. A broader incumbent with overlap in eligibility administration, though primarily B2G.
• Conduent: Provides eligibility and enrollment solutions for state Medicaid agencies and commercial health plans. Adjacent incumbent with comparable eligibility-and-benefits-administration capabilities at enterprise scale.
• Change Healthcare (Optum): Now part of Optum, offers technology-enabled eligibility verification and revenue cycle management at massive scale across US hospitals. Represents the broader incumbent threat that pure-service players like ESS face.

Emerging players

• Waystar: Cloud-based revenue cycle platform with built-in eligibility verification and patient financial clearance workflows. Represents the technology-enabled direction the eligibility-screening market is moving toward.
• Avienda (formerly Aviacode): Provides healthcare revenue cycle services including patient access and eligibility support for hospitals and physician groups. Comparable niche-services competitor though with broader RCM scope.

Direct peers

• EligibilityAdvocates (Paragon Healthcare): Patient eligibility and enrollment services for hospitals, helping uninsured patients qualify for Medicaid, charity care, and other government programs. Closely comparable in service model and target customer base.
• Centauri Health Solutions: Provides eligibility, enrollment, and revenue cycle services to hospitals and health plans, with a particular focus on Medicaid and charity-care screening. Directly comparable to ESS in serving uninsured/underinsured patient populations.
• The Rawlings Group: Specializes in healthcare subrogation, eligibility screening, and recovery services for hospitals and payers, with deep expertise in Medicaid and third-party liability. Overlaps with ESS's eligibility and program-enrollment work.

Others

• Sierra-Cedar (Eligibility & Enrollment practice): Implements and supports large-scale eligibility-and-enrollment systems (e.g., for state Medicaid agencies). Adjacent ecosystem participant rather than direct competitor, but works in the same eligibility domain.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• LinkedInlinkedin.com/company/eligibility-screening-services-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ELIGIBILITY SCREENING SERVICES, LLC