Exclusive to MariChris is UnivERS®, the only application of its kind that has been designed and developed so it can be configured for compatibility with any financial or medical assistance programs, including Medicaid and other specialized Public Health programs. From documentation of all policies and program plan elements to management of all eligibility rules, UnivERS® has proven components that will accelerate your Eligibility Determination capabilities.
Document all policies and procedures affecting member/patient eligibility
Define plan rules based on the breakdown (carve-out) of eligibility programs
Identify the target population and providers of each program or plan
Prototype and test eligibility rules for each program, and plan and document variances
Monitor member/applicant populations to ensure policy compliance and fulfillment
Monitor provider and member/applicant feedback to ensure program integrity
Accelerate delivery of healthcare technology and improve the quality of patient care.
UnivERS® can be used by payers and providers alike and offers significant benefits to a healthcare information technology (HIT) enterprise. We bring over 10 years of design and development eligibility and enrollment solutions experience.
Allow for greater flexibility for program and policy changes
Reduce redundant data entry across benefit programs
Decrease processing time for changes and redeterminations
Integrated Rules Engine designed for Medicaid management
Reduce IT dependency - Increase case worker productivity
UnivERS@Home Extends Your Reach For Eligibility Determination
UnivERS@Home works with your current Medicaid Eligibility Determination System and can act as a stand-alone component of a healthcare eligibility determination solution, or can be a replacement for outdated FAMAS systems. Essentially UnivERS@Home puts eligibility in the hands of the user and provides access to qualifying coverage based on the individual and program elements.
Captures demographic, characteristic, medical, financial, and insurance information in a single entity for eligibility determination.
A built in feedback loop instantly transmits eligibility status and integrates with existing systems and any number of programs.
UnivERS® core component allows for a “duplicate check” of applicants and can link to Health Information Exchange (HIE).
The status feedback loop accurately informs the applicant of plan options available based on rules set forth by the department or agency.
RulesXpress – Easy To Use, Powerful Rules Based Automation
RulesXpress is a powerful, easy to use tool that allows administrators to build complex rule-sets that define any program, or benefit plan without requiring technical intervention. As plans change or as updates take place with new supplemental rules, you can respond quickly and efficiently without any affect on ongoing operations, eligibility submission and application processes. Set up can be complete in as little as fifteen minutes and administrators will have access to a simple, intuitive interface that allows them to easily add, modify or amend any rule in the system.
Fully Customizable System Interfaces That Works Like you Do.
UnivERS® and UnivERS@Home has been designed based on how administrators and case workers carry out eligibility and program management tasks. While system interaction and core data collection elements encompass the majority of the core requirements for managing a financial or medical assistance programs, we recognize that your organization may have particular needs so we built in the flexibility to customize UniVERS® and UnivERS@Home to work like you do.