What is member match and how does it help with eligibility criteria analysis?

Member match enables fully automated, sophisticated eligibility matching that ensures 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.