Services Industries Cloud Cybersecurity Digital EngineeringNXT HOLMES Geographies

Service Offerings

Data, Analytics & AI
Applications
Digital Operations and Platforms
Consulting
Infrastructure Services

Client Themes

As a Service
Big Data
Blockchain
Cyber Security & Enterprise Risk
DevOps
Enterprise Ops Transformation
Industry 4.0
Open Source
Product Lifecycle Management
Software Defined Everything

Service Offerings

Data, Analytics & AI
Applications
Digital Operations and Platforms
Consulting
Infrastructure Services

Client Themes

As a Service
Big Data
Blockchain
Cyber Security & Enterprise Risk
DevOps
Enterprise Ops Transformation
Industry 4.0
Open Source
Product Lifecycle Management
Software Defined Everything
Aerospace & Defense
Automotive
Banking
Capital Markets
Communications
Consumer Electronics
Consumer Packaged Goods
Education
Engineering, Construction & Operations
Healthcare
Insurance
Medical Devices
Natural Resources
New Age Markets
New Age & Media
Network & Edge Providers
Oil & Gas
Pharmaceutical & Life Sciences
Platforms & Software Products
Industrial & Process Manufacturing
Professional Services
Public Sector
Retail
Semiconductors
Travel & Transportation
Utilities
Aerospace & Defense
Automotive
Banking
Capital Markets
Communications
Consumer Electronics
Consumer Packaged Goods
Education
Engineering, Construction & Operations
Healthcare
Insurance
Medical Devices
Natural Resources
New Age Markets
New Age & Media
Network & Edge Providers
Oil & Gas
Pharmaceutical & Life Sciences
Platforms & Software Products
Industrial & Process Manufacturing
Professional Services
Public Sector
Retail
Semiconductors
Travel & Transportation
Utilities
Case Study
Latest Thinking
Solutions
Segments
Offerings
videos
Form
Case Study
Latest Thinking
Solutions
Segments
Offerings
videos
Form
Case study
Latest Thinking
Offerings
Solutions
Form
videos
Case study
Latest Thinking
Offerings
Solutions
Form
videos
Case Study
Latest Thinking
Our Partners
News
Events
Join our Team
Get in Touch
Digital
Case Study
Latest Thinking
Our Partners
News
Events
Join our Team
Get in Touch
Digital
Latest Thinking
Case Study
Offerings
Segments
Solutions
videos
Form
Latest Thinking
Case Study
Offerings
Segments
Solutions
videos
Form
HOLMES™ and Automation Ecosystem
Latest Thinking
Case study
Solutions
Awards, Recognitions & Media
What makes us Different
What?
Why?
How?
Form
videos
Business
IT
Automation Advisory
Representative Applied AI use cases of HOLMES with ecosystem
Business resilience with Wipro HOLMES™ solutions for pandemic assistance
HOLMES™ and Automation Ecosystem
Latest Thinking
Case study
Solutions
Awards, Recognitions & Media
What makes us Different
What?
Why?
How?
Form
videos
Business
IT
Automation Advisory
Representative Applied AI use cases of HOLMES with ecosystem
Business resilience with Wipro HOLMES™ solutions for pandemic assistance

Our Global Presence

Our Showcase Pages Continental Europe View office locations Benelux Nordic Dach France
Our Showcase Pages India & Middle East View office locations India Middle East
Our Showcase Pages India View office locations India English
Our Showcase Pages Asia - Pacific View office locations Asean Korea China Australia Japan (English    Japanese) Taiwan
Our Showcase Pages Africa View office locations Africa
Our Showcase Pages United Kingdom & Ireland View office locations United Kingdom & Ireland
Our Showcase Pages Canada View office locations Canada
Our Showcase Pages United States View office locations United States
Our Showcase Pages Latin America View office locations Brazil (English    Portuguese) Latam > Mexico (English    Spanish)

Our Global Presence

geographies-map.png

Our Showcase Pages

Asean- English
China- English
India- English
Middle East- English
Korea- English
Australia- English
Japan- English
Japan- Japanese
Benelux- English
DACH- English
France- English
Nordic Region- English
United Kingdom & Ireland- English
Brazil- English
Brazil- Portuguese
LATAM- English
Mexico- English
Mexico- Spanish
Africa- English
United States- English
Canada- English
< Healthcare

Medicaid Platform

fav-article
Services
Industries
Cloud
Cybersecurity
Digital
EngineeringNXT
HOLMES
Geographies
Contact Us
About Wipro
Careers
Locations
Leadership
Investors
Innovation
News & Events
Blogs
Analyst Speak
Products & Platforms
Partner Ecosystem
Sustainability

Our Expertise

Leverage Medicaid Fiscal Agent Services backed by 25+ years of experience to meet the challenges of industry reforms and regulatory requirements

Wipro’s Medicaid platform represents a 100% compliant, efficient and scalable suite to run managed Medicaid operations for clients. The service meets client needs related to IT Applications, Infrastructure, Security, Hosting, Business Processes and Service Desk. Through these services we ensure clients can keep pace with ongoing reforms and regulatory mandates. Our service excellence, critical to client success, is the result of 25+ years of experience in providing Medicaid Fiscal Agent Services that include:

  • Claims Administration
    •  Claims data intake
    •  Clearing house convergence
    •  Claims adjudication  
    •  Prior authorization 
    •  Fraud and abuse  
    •  Payment & print distribution  
    •  Claims overflow BPM/workflow
  • Medicaid Medical Management
    • Health Risk Assessment (Clinical and Behavioral) HRA, complex case management
    • Medicaid Care Management platform for integrated behavioral-clinical programs
    • "Feet on Street" services for case management
  • Medicaid Back-Office Operations
    • Membership and enrollment
    • Premium billing and reconciliation
    • Member and provider services
    • Membership scanning and fulfillment
    • Claims - EOB, check, correspondence printing
  • Advanced Data Analytics
    • Operations Dashboards
    • Member-centricity analysis
    • Medical Management - predictive health and cost analysis
© 2020 Wipro Limited
Privacy Statement Disclaimer RSS Feed
© 2020 Wipro Limited
X