What We've Done

2004

Launched the Facilitated Enrollment Electronic application, the first “end-to-end” Medicaid health plan electronic enrollment tool

2006

Launched EnrollNY, a public access, online enrollment tool

2007

Delivered the first successful facilitated enrollment transaction to NYC EDITS

2008

Developed a system that generates CHP KIDS files, works the error handling, allows for proper resubmissions and ensures accuracy

2009

Developed “MEDS” software that manages encounter data and incorporates a sophisticated workflow for users that delivers 99%+ acceptance rates

2010

Created a 2-1-1 custom portal for managing calls for prenatal women

2012

Built an Accounts Receivable system for submitting and reconciling Medicaid and FHP premium

2013

Built Xchange Connect to reconcile “834” transactions between health plans and the New York State health insurance “marketplace”/Exchange

2013

Built Health Home software for care management agencies, care managers and others to collect and manage Health Home member data

2014

Launched an electronic recertification application for Child Health Plus members to renew their eligibility online

2017

Developed an electronic enrollment system for Managed Long-Term Care programs, to comply with New York City Human Resources Administration’s EDITS automated system