MMIS SOLUTIONS
Improve MMIS (Medicaid Management Information System) program management and outcomes for members, providers, and stakeholders.
MMIS Modernization with our Modular Cloud-Based Solutions
Our Medicaid Management Information Systems (MMIS) Modules represent a significant leap forward in healthcare administration. Our solutions streamline provider enrollment and management, coordinate benefits, employ advanced data analytics, and monitor program integrity. MMIS Modules are a powerful tool in navigating the complexities of healthcare administration, delivering tangible benefits to both providers and beneficiaries.
Discover your Provider® (DyP®)
Our state-of-the-art SaaS provider management solution, DyP, offers the healthcare community the fastest enrollment technology available. Accessible through the provider portal, DyP provides a suite of empowering features, including Provider Enrollment and Provider Self-Service, with the flexibility to integrate additional functionalities. With DyP, you can:
Verify your Entity™ (VyE™)
VyE™ does more than just collect data; it distills complex information into an easily digestible format. It’s your trusted partner in the fight against risk.
Harness the power of millions of data points to supercharge your entity management. VyE™ empowers you to seamlessly identify, verify, and manage enrollment, license verification, and fraud prevention information across a wide spectrum of providers, hospitals, facilities, and pharmacies. Our platform offers an intuitive navigation experience, coupled with straightforward filtering and configurable risk scoring.
With VyE™, you’re not just verifying entities; you’re unleashing the power of precision and speed, fortifying your operations, and securing a future of confidence and success.
HTG Fast Healthcare Interoperability Resources™ (HTG FHIR™)
Healthcare depends on timely information sharing between patients, payers, and providers spanning millions of people nationwide. HTG FHIR provides easy access to data, API management, and flexible configurations with an unlimited number of backend data sources. HTG’s FHIR Server solution provides complete healthcare data interoperability.
Recover your Liability ™ (RyL™)
RyL empowers your organization to safeguard Medicaid program dollars with precision and speed through RyL’s Third-Party Liability (TPL) solutions. From pre-payment cost avoidance to post-payment recovery, RyL ensures every dollar is used wisely. With RyL, make every dollar count, secure Medicaid resources, and streamline your operations with confidence.
Our RyL platform delivers the power to: