Eligibility Automation

Simplify Eligibility Program Processes

The sheer number and complexity of financial and medical assistance benefit programs that exist today often makes it difficult for administrators to determine eligibility, and for providers to initiate needed care to its patients in timely manner.

UnivERS is a comprehensive eligibility technology solution that solves that problem and works with any financial or medical assistance program, including all programs supported through the Medicaid Management Information Systems (MMIS).

UnivERS allows program administrators to easily set rules and conditions for any program, with the process of preliminary eligibility determination and final eligibility determination being fully automated.  Now eligibility for ever-changing financial and medical assistance programs can be completed with ease in real time and without delays, all while the application process is being conducted.

• Ability to create and manage any number of active programs
• No technical skills or support required to create and manage benefit program rules
• Rules sets can be modified at anytime
• Application data collected can be applied to any eligibility program or benefit plan
• System can seamlessly match applicants to all available programs
• Comprehensive patient inputs, data management and caseload management capability

Custom Rules Engine

Flexible Rules-based architecture provides comprehensive enforcement of eligibility rules and universal application of these rules across all programs. Check out RulesXpress

Eligibility Today

Navigating the eligibility ecosystem is not easy, yet critical to the delivery of quality patient care.  We understand the market and how to meet eligibility challenges. More about eligibility

Technical Specifications

UnivERS is a universal rules-based eligibility core system that works with most standard technical Platforms and can be integrated with most any practice management system. Get the complete specifications

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