Both state Medicaid and Federal health programs must modernize eligibility and enrollment systems for greater cost efficiency and beneficiary service. With the advent of streamlined eligibility processes and Express Lane Eligibility (ELE), states are working to reduce processing time using a quick, simplified method to deliver benefits with both accuracy and speed. It’s imperative to connect special populations and other consumer groups with the right care at the right time.
Cognosante understands these needs and has the experience to support eligibility determination, accurately enter application data, verify eligibility criteria, and implement targeted enrollment strategies.
Built on the award-winning Microsoft Dynamics CRM, eSante EnGage360® interfaces with IVR, complex workflow, reporting, and business analytics to provide a comprehensive and cost-efficient solution for state and Federal agencies.
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