Stay inside the rules
Verification as a live signal, compliance as a build step
Real-time eligibility checks, regulatory change monitoring and pre-submission risk scoring so nothing reaches a state or CMS that would not survive review.
- Dual, LIS and MSP eligibility discovery
- State-specific notice and template governance
- Pre-submission error and denial prevention
- Audit and readiness evidence packages
Measured impact
What Eligibility & Compliance changes.
- Real-time
- Verification
- 50
- State rule sets
- Every
- Action evidenced
Eligibility & Compliance
How it works
- 01Verify270/271, state portals and plan systems checked live instead of overnight.
- 02MonitorFederal and state rule changes tracked and mapped to the templates they affect.
- 03ProveEvery submission ships with an evidence pack: sources, versions, reviewers, timestamps.
- Verification
- Real-time
- State rule sets
- 50
- Action evidenced
- Every
Where payers use it
Same technology, many workflows.
Dual, LIS and MSP eligibility discovery
State-specific notice and template governance
Pre-submission error and denial prevention
Audit and readiness evidence packages
Delegated oversight reporting
Packaged as
Solutions built on this technology.
Live in productionDualEnroll.aiDual-eligible, LIS/Extra Help, SNAP and D-SNP enrollment run end to end — screened, scored, submitted, recertified.
New platformPayerHealth CLMNetwork, vendor and delegated contracts authored, negotiated, executed and enforced — with rate terms machine-readable on day one.
Multi-stateManaged MedicaidA state-compliant outreach and operations engine for MCOs: campaigns, field mapping, template approvals and auto-touch cadences.
Whole-personSDoH IntelligenceFood, housing, transport and utility risk detected from the signals you already hold, then routed to a resource that actually exists.Bring us a workflow. We will show you the audit trail.
Ninety minutes with your operations and compliance leads. You leave with a mapped workflow, a measured baseline and a deployment path.