In order to help agencies sustain the evolving changes faced by Medicaid in terms of care delivery models, population health management, increased regulations & enrollment and payment methods, Connvertex provides Medicaid modules that support the following:
Member Management – The continued dependence of several US states on outdated member management systems has resulted in poor management of several data types like health data, demographic data, benefits plans, etc. This in-turn has increased dependence on support centers accelerating costs and efforts.
Connvertex Member Management Solution is aimed at empowering citizens with pertinent information including eligibility check, claims information, benefit plans, etc., to help them make informed decisions and enhance member satisfaction.
Provider Management – Complete provider satisfaction and active member involvement can only be achieved by ensuring easy provider access to all pertinent information.
Our holistic Provider Management Solution is aimed at providing states with a 360° view of their interactions and relationships with providers across a variety of dimensions including – Credit Profile, FTI, Certifications & Licensures, Provider rating and so on.