Solutions
Managed Care Organizations
Integrated eligibility, care coordination, and member engagement tools — with the audit infrastructure your compliance teams require.
The Challenge
Member churn, SDOH gaps, and compliance overhead from disconnected enrollment and care management systems are costing MCOs on multiple fronts. When eligibility, care coordination, and member engagement live in separate systems, no one has the full picture.
What Navigator360 Delivers
Integrated Eligibility & Enrollment
Automate member enrollment across Medicaid and social benefit programs. Reduce churn by catching eligibility lapses before they happen — with continuous monitoring and automatic re-enrollment.
SDOH Screening & Referrals
PRAPARE, AHC HRSN, and custom SDOH assessments embedded in member care workflows. Closed-loop referrals to community-based organizations tracked to outcome.
360° Member View
Clinical data, social needs, benefit history, and care plan in one view shared across the care team. No manual record reconciliation.
Compliance Documentation
Immutable audit ledger and H.R. 1-compliant artifacts generated automatically. Your compliance team has everything they need — without burdening clinical staff.