Case Study

Modernizing Appeals Management for Virginia Medicaid

User Base
0 K
Project Value
$ 0 M

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Transformed Virginia Medicaid’s appeals system with a secure, scalable .NET cloud solution.
Centralized workflows and enabled real-time appeal status tracking.
Reduced processing delays, errors, and manual inefficiencies.
Ensured compliance through Agile delivery, accessibility, and WCAG standards.
Supported adoption with robust training tools and user resources.

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Challenge

  • Fragmented manual workflows hinder appeals

  • Delays, errors, limited status visibility

  • No centralized platform for tracking

  • Inefficient document management and updates

  • Struggled compliance and accessibility requirements

  • Needed scalable cloud-based system integration

  • Automate appeals management and engagement

Approach

  • Delivered a scalable cloud-based platform using modern .NET architecture

  • Ensured alignment to objectives and compliance

  • Employed Agile for iterative development

  • Ensured security, WCAG compliance accessibility

  • Delivered training guides, video tutorials and user manuals supporting over ~1k users

Solution and Outcome

  • Revolutionized DMAS Medicaid appeals management

  • Centralized system automated key workflows

  • Reduced processing times and errors

  • Provided real-time appeal status visibility

  • Integrated seamlessly with existing systems

  • Ensured scalability and regulatory compliance

  • Enhanced accessibility with comprehensive training

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