At hCentive, we’ve been addressing State eligibility and enrollment challenges since 2009. To date, we’ve processed more than eight million eligibility determinations, including individuals for Medicaid and CHIP coverage.
States today must integrate and exchange data across a multitude of disparate systems. Managing these data exchanges all while ensuring data is appropriately sent, received, validated, and responded to can be an arduous task. The WebInsure Data Exchange Manager technology has perfected and eliminated the complexity of data exchange.
As States work with a multitude of providers to ensure the delivery of services to members, proper management of patient data often becomes a significant problem. Our WebInsure Master Data Management technology is an effective, adaptive, and smart solution with a backend algorithm to manage patient data and 'learn' as information is received. As a machine learning tool, this enables ‘fuzzy matching’ to be conducted, without limitations, to ensure duplicate entries are identified and data is appropriately merged – unlike other solutions that rely on an ‘exact match’.
Managing data across multiple systems is a complex task. It can be difficult to know if data was sent, reformatted, and correctly and accurately received in another system. This makes data reconciliation become a critical process to validate all data was appropriately sent and received. Data reconciliation ensures data errors are promptly discovered, addressed, and resolved so that only accurate, up to date information remains across systems. Our WebInsure Data Reconciliation technology is designed to ensure both accuracy and precision in all data reconciliation.
A key aspect of operating any State program is communication with beneficiaries, partners, and other stakeholders. States must be able to communicate clearly and effectively while meeting rigorous regulatory requirements for communication. Our WebInsure Correspondence Manager facilitates the management and sending of all correspondence.
States who have elected to operate their own State-based Exchanges (SBEs) often encounter a range of complex problems, from integration with Qualified Health Plans (QHPs) to modifying shopping and application functions, to supporting long-term operations and maintenance needs. Our WebInsure Exchange Market technology is designed to be a seamless replacement to any current, inefficient, and costly exchange technology you may have in place today.