Fiscal Agent Services

Leveraging our 30-plus years of experience in delivering highly efficient and reliable Medicaid fiscal agent services, we bring the expertise needed to transform fiscal agent operations so that agencies can provide successful outcomes and seamless experiences. Ranked as a Leader in managing payer operations (Everest PEAK Matrix 2020), we have delivered new innovations to claims processing, provider and member services, and mailroom operations for several leading Medicaid and commercial payers.

Our Fiscal Agent module and financial operations transformation strategy are focused on delivering:

Increased auto-adjudication rates.
Enhanced provider and member experiences.
Improved services .
The adoption of self-service and electronic submissions.
Reduced program and operational costs
Improved compliance

Our Fiscal Agent services include:

Provider Management, Support, and Education
Recipient/Member Services & support
Claim processing and payment administration
Prior authorizations
Utilization review and quality assurance
Early and Periodic Screening, Diagnosis and Treatment (EPSDT)
Financial services and reimbursements
Mailroom and fulfillment services
Drug rebates
Third-party liability services
Contact Center Services

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Fiscal Agent Services

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