What is MemberMatch and how does it help with eligibility criteria analysis?
MemberMatch enables fully automated, sophisticated eligibility matching that ensures an accurate match. Our process includes sophisticated member matching logic to ensure an accurate match. Then, once the match is made the associated "backfill" and routing are executed prior to export.
We use robust testing methodology to ensure the eligibility matching accuracy of our automated processes exceeds that of existing manual processes. Our system provides consistent, accurate matches, which, in-turn, improve payment accuracy and reduce labor costs.
Our system enables the client to specify conditions in which eligibility matches are reviewed.