Provider Engagement

Provider Engagement

End-to-end provider engagement

The recently passed 90/10 rule and the Affordable Care Act (ACA) requirements around Medicaid provider enrollment and screening have created new business needs, as well as a new funding opportunity for Medicaid agencies looking to enhance the systems they use to support providers.

Cognosante offers eSante® Provider®, a comprehensive, SaaS-based provider engagement, enrollment, and screening solution designed to help Medicaid agencies comply with new Federal regulations around managed care, program integrity, and modular Medicaid Management Information System (MMIS) solutions.

End-to-end provider engagement

eSante® Provider® offers end-to-end automation. The solution streamlines and eliminates redundant, outdated, and manual processes, fully supporting Medicaid program integrity initiatives and goals.

Key features:

  • Electronic application submission for providers (or their proxies) for Medicaid or Medicare
  • Identity proofing, validation, and screening
  • Ability to eliminate duplicate data entry
  • Automated workflow
  • Unified provisioning across systems upon the successful completion of an enrollment
  • Portal capabilities to deliver provider-centered engagement (e.g., Health Information Exchange (HIE) metrics, managed care organization statistics, public health data)

Cognosante wants to work with you

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