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Surpass Reduced Verifying Medicaid Eligibility Time by an Amazing 95%

95%

faster than human team

100s

applications processed per day

"Using automation modules significantly reduced our efforts, allowing us to optimize productivity in other core areas. Our modules continue to save us time and money in multiple ways. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support."

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Brittany Turner, Director of Compliance and Systems

"Using automation modules significantly reduced our efforts, allowing us to optimize productivity in other core areas. Our modules continue to save us time and money in multiple ways. We couldn’t be happier with the services rendered by the Thoughtful team and their ongoing support."

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Brittany Turner, Director of Compliance and Systems

Company Name

Surpass

Company Mission

Surpass™, a Behavioral Health Company located in Nashville, TN, prioritizes productivity because time is their best asset in driving successful patient outcomes. Surpass is a part of the Graham Holdings family, an organization with a strong healthcare background and vision for providing meaningful change. To provide this highly personalized level of care, the team needs to be focused on the aspects of their work that rely on human touch, not bogged down with tedious, mindless tasks like regularly verifying eligibility.

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The Problem

The team at Surpass would spend hours of manpower on manual verification of Medicaid eligibility for hundreds of patients across multiple states and agencies. The tedium of logging in and out of various state Medicaid portals, tracking down the necessary information, and keying the updates into their EHR was time-consuming and pulled the team away from more engaging, higher-value patient-facing work. The company needed a solution to save time on a repetitive, tedious activity.

The Approach

Surpass engaged with Thoughtful to dive into the requirements of verifying Medicaid eligibility for a large volume of patients, including the numerous intricacies across states, diagnoses, providers, and more. Thoughtful researched the technical requirements of working within government websites and Surpass’s EHR.

After building out the requirements, the Thoughtful team was able to develop, test and deploy the end-to-end solution within a matter of weeks. Due to the reliance on custom filters and labels within Surpass’s EHR, the module is able to dynamically stay on top of ever-changing eligibility requirements and meet Surpass’s evolving business needs.

The Result

Thoughtful designed a custom module to verify Medicaid eligibility for hundreds of clients across six states, approximately 95% faster than the human team was able. Applications of hundreds of clients across multiple states can be processed simultaneously, on a daily basis, significantly reducing the time it took to process a claim and enabling continuous patient coverage. As Surpass’s patient population grows, the module is able to keep up with fluctuations in demand.

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