State & Federal Government

State Medicaid programs are challenged with providing superior service to their covered members, controlling costs, streamlining communications with providers and detecting and eliminating fraudulent claims activity. By leveraging our collaborative platform Covisint can automate the completion of manual forms and authorization workflows -- driving provider access through a single point for both structured and unstructured transactions.

Solutions:

• Trusted Identity Broker
  A solution for managing the federation of user identities across a State's security domains. This allows users to login locally at their domain, and select from a variety of external services that are all accessible without requiring a secondary login.
  
  
• Claims Attachments
  Enable efficient communications where providers and payers securely exchange claims attachments requests and responses, increasing revenue cycle capture time.
  
  
• Utilization Review and Prior Authorizations
  Manage utilization review communications and prior authorizations requests and approvals -- supporting clinical documentation included when needed.
  
  
• Physician and Clinician Signature Collection
  Enable efficient collection of paper-based or electronic signatures from physicians and other health care providers -- improving oversight and eliminating administrative burdens.
  
  
• Provider Correspondence
  Improve communication methods between providers and payers -- enable secure communications, reducing inefficient paper and phone-based processes.