Sold by: Cardinality.ai
The cloud-based, self-servicing Medicaid Provider Management System from Cardinality serves the enrollment and revalidation process requirements of Healthcare Providers and the State Medical Agencies. Its robust features and modular components ensure the integrity and the configurability of the Medicaid program.
Sold by: Cardinality.ai
Overview
Medicaid Provider Management System from Cardinality, is a self-service solution, distinctly serving the enrollment and re-validation process requirements of Healthcare Providers and the State Medical Agencies. The solution seamlessly performs the functions of Provider Enrollment, Management and Credentialing, while ensuring compliance with the different State and Federal policies. The highly modular componentry of the solution, aligns with business needs, program integrity and customer service.
The solution is equipped to carry out the processes of :
- Provider Enrollment,
- Eligibility determination
- Inquiry and Provider Information Management
- Screening and Validation
- Site Visits
- Approvals
- Disenrollment
- Termination
- License Requests
In entirety, the application based on Medical Information Technology Architecture 3.0 (MITA) warrants rapid deployment nurturing flexibility and customizations. Protecting the integrity of the Medicaid program, the solution is built to ensure that only eligible providers participate in Medicaid the gap between stakeholders and aids in channelizing medical benefits and services reach the last mile.
Highlights
- Protecting the integrity of the Medicaid program & Compliance with the different State and Federal policies
- Bundled with advanced features like AI Enabled Analytics & Dashboards, Low Code Configurator, Personalized Widgets and Workflows, Chat-bots, highly configurable Notifications and Alerts engine analytics
- Solution encompasses Role Based Access Control (RBAC), Standard Medicaid Provider Reports, accepts multiple enrolment, integrated with NPPES, making add-ons and upgrades a nimble exercise.
Details
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Pricing
Pricing is based on contract duration. You pay upfront or in installments according to your contract terms with the vendor. This entitles you to a specified quantity of use for the contract duration. If you choose not to renew or replace your contract before it ends, access to these entitlements will expire.
Dimension | Description | Cost/12 months |
|---|---|---|
10000 Users | Up to 10000 users, excludes one-time implementation cost | $3,500,000.00 |
20000 Users | Up to 20000 users, excludes one-time implementation cost | $4,000,000.00 |
30000 Users | Up to 30000 users, excludes one-time implementation cost | $4,500,000.00 |
40000 Users | Up to 40000 users, excludes one-time implementation cost | $4,800,000.00 |
50000 Users | Up to 50000 users, excludes one-time implementation cost | $5,000,000.00 |
60000 Users | Up to 60000 users, excludes one-time implementation cost | $5,100,000.00 |
70000 Users | Up to 70000 users, excludes one-time implementation cost | $5,180,000.00 |
80000 Users | Up to 80000 users, excludes one-time implementation cost | $5,200,000.00 |
Vendor refund policy
Cancellation with full refund within 1 month of subscription start date
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