VERIFY
HHS Modular Platform
VERIFY is a comprehensive eligibility verification platform that streamlines determinations and combats fraud, waste and abuse in Medicaid and Health & Human Services (HHS) programs. By leveraging advanced analytics and benchmarking capabilities, VERIFY quickly confirms the eligibility of applicants seeking social services and ensures eligible individuals receive their benefits quickly and efficiently. This easy-to-use system utilizes color-coded risk scoring to visually indicate the risk level of each applicant, making it easy for agencies to make informed decisions that drive positive outcomes.
OUR DATA PARTNERS
The cornerstone of the VERIFY platform is it’s best-in-class network of data partners. By combining VERIFY data, state-supplied data with the data from these prestigious partners, VERIFY creates an unparalleled picture of each applicant, resulting in more accurate risk assessments, eligibility determinations and reduced fraud, waste and abuse. And because it’s modular, it can easily be modified to meet rapidly evolving trends and regulations.
VERIFY & REASSESS ELIGIBILITY
REDUCE FRAUD, WASTE & ABUSE
STAY COMPLIANT
VERIFY is a comprehensive solution that combines advanced analytics and robust data verification, all in a user-friendly portal to streamline eligibility determinations and combat fraud. By leveraging a wide range of data sources and providing configurable reporting tools, VERIFY empowers organizations to make more accurate risk assessments, eligibility determinations and reduced fraud, waste and abuse.
PLATFORM MODULES:
Identity Module
The IDENTITY module automatically retrieves data from relevant sources, reducing the need for manual verification and speeding up the eligibility determination process.
- Identity & Residency: This component verifies the identity and residency of an applicant.
- Income & Employment: This component returns rapid income and employment verification with reduced requirements and without ever having to send employer information requests.
- Immigration & Incarceration: This component verifies the immigration and incarceration status of the applicant through several data partners.
Asset Module
This module is a robust Asset Verification System (AVS) that performs asset verification using a wide range of data from local, regional, and national sources.
- Liquid Assets: This component gathers information about liquid assets, including account balances, interest, accounts opened and closed dates, and joint owner details.
- Real Assets: The Real Asset component performs real-time verification on real property assets held by individuals.
- Vehicles: The Vehicle component returns all vehicle assets, including all land, air and water crafts held by the applicant.
Detect FWA Module
DETECT is a NextGen FWA module that seeks out and reduces the costly burden of fraud, waste, and abuse. By combining CITIZ3N’s internal data and third-party partner data with local, state, and federal government sources, DETECT becomes a powerful ally for Medicaid, SNAP, TANF, LIHEAP and other state-based social programs.
- Data Requests: This component retrieves specific data relevant to eligibility verification of individuals seeking social services.
- Risk Assessments: Verify assesses the accuracy and completeness of beneficiary data by cross-referencing it with various public and private databases.
- Risk Scores: Numerical and color-coded risk scoring helps eligibility specialists to quickly prioritize applicants.
DataHub Module
DATAHUB, is a powerful and indispensable intelligence module for government. It provides agencies with the means to make data-driven decisions effectively by seamlessly connecting to a wide array of data sources, including the CITIZ3N’s Electronic Data Warehouse (EDW), a centralized hub for comprehensive data.
- Customizable Dashboards: Users can fully customize dashboards to meet their specific needs. The interactive dashboards and configurable reports enable users to access real-time data and make informed decisions.
- Reports & Analytics: DATAHUB reporting provides authorized users with self-service business intelligence, analytics, and reporting on member demographics, geographic trends, transactions, and financial data with near real-time updates. DATAHUB also supports SQL queries.
- Graphs & Charts: DATAHUB boasts a rich repertoire of data visualization options, encompassing diverse formats such as bar charts, pie graphs, and heatmaps.
GOV•AI Module
GOV•AI is a large language model (LLM), generative AI that curates vital information from industry-specific big data, CITIZ3N’s internal databank, and client-specific data. This triangulated approach results in comprehensive insights and accurate actionable information. Click here to learn about GOV•AI.
Frequently Asked Questions
WHAT IS VERIFY HHS MODULAR PLATFORM?
VERIFY HHS Modular Platform is a comprehensive verification system designed to streamline eligibility determinations and combat fraud, waste, and abuse in established Medicaid and Health & Human Services (HHS) programs. It leverages advanced analytics and benchmarking capabilities to quickly confirm the eligibility of applicants seeking social services.
WHAT ARE THE KEY FEATURES OF VERIFY?
VERIFY offers several core modules including Identity, Asset, and Detect FWA (Fraud, Waste, and Abuse). These modules provide real-time updates, rapid income and employment verification, asset verification, risk assessments, and color-coded risk scoring to prioritize applicants.
WHAT ARE THE MODULES OF VERIFY, AND WHAT FUNCTIONALITIES DO THEY OFFER?
Identity Module: Streamlines identity verification using data from Credit Reporting Agencies, Federal Data Services Hub, and more.
Asset Module: Performs asset verification using data from local, regional, and national sources.
Detect FWA Module: Combats fraud, waste, and abuse through data analysis and risk assessment.
DataHubModule: Provides comprehensive insights and data analysis capabilities, empowering agencies to make data-driven decisions effectively.
AIME Module: Artificial Intelligence used to derive key insights from industry-specific big data, facilitating informed decision-making and streamlined processes.
HOW DOES VERIFY ENSURE DATA ACCURACY?
VERIFY integrates data from a best-in-class network of data partners and government sources, including the Social Security Administration, Department of Corrections, and National Accuracy Clearinghouse. This integration creates a comprehensive picture of each applicant, leading to more accurate eligibility determinations.
CAN VERIFY BE CUSTOMIZED TO MEET SPECIFIC STATE NEEDS?
Yes, VERIFY follows the Modular Information Technology Architecture (MITA) 3.0 principles, allowing for flexibility in component selection and replacement based on specific state requirements. This ensures the system can adapt to evolving trends and regulations without extensive technology changes.
WHAT ARE SOME KEY USES OF VERIFY FOR MEDICAID AND HHS PROGRAMS?
VERIFY offers uses such as regular reassessment of Medicaid populations, proactive detection of fraud, waste, and abuse, rapid enrollment with color-coded risk scoring, efficient compliance with CMS regulations, and unified insights through a user-friendly reporting platform.
HOW CAN I REQUEST A DEMO OR LEARN MORE ABOUT VERIFY?
To request a demo or learn more about CITIZ3N solutions, simply click here to send us a message.request you can contact their sales team directly for personalized assistance and guidance tailored to your specific needs and requirements.
