Nourish Neighbors delivers dietitian-designed groceries and ready-to-eat meals at no cost to Medicaid members across the Bronx, and bills Medicaid for every delivery. With VerifyTreatment (VerifyTX), the team checked 10,908 members’ coverage in a single day and found 353 whose coverage had gone inactive.
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Every grocery box and meal Nourish Neighbors delivers is billed to Medicaid, so each member needs active coverage when the food goes out. Medicaid coverage can lapse at renewal with little warning, and the team was facing roughly 30,000 eligibility checks a month. Checking members one at a time in a payer portal couldn’t keep pace, and every delivery to a member whose coverage had lapsed was food the program couldn’t bill for.
The Nourish Neighbors team uploads its member list and VerifyTreatment checks every member’s eligibility in one batch, then returns a report that separates active coverage from inactive. Instead of thousands of portal lookups, staff work from a short list of members who need follow-up, and everyone else is cleared for delivery.
In its first week on VerifyTreatment, Nourish Neighbors:
Checked 10,908 Medicaid members’ eligibility in a single day, in three batch uploads.
Flagged 353 members with inactive coverage, about 1 in 31, so the team could follow up before the next delivery.
Got a clear active or inactive answer for 10,906 of the 10,908 members checked.
Went from a first call with VerifyTreatment to its first full batch in 8 days.
Behavioral Health Providers
Discover how Foundations Recovery Network transformed their operations with the VerifyTreatment platform. They eliminated admissions delays and reduced staffing needs while preventing the loss of 1 in 10 patients, and saving over $10,000 per month in lost revenue!
Behavioral Health Providers
Legacy Healing Center runs addiction treatment programs in New Jersey, Ohio, California and Florida, and every admissions call comes down to two questions: can this caller’s plan be treated at one of its programs, and which one? With 176 payer alerts built into VerifyTreatment (VerifyTX), every verification comes back with Legacy’s own answer attached.
Behavioral Health Providers
Palmetto Lowcountry Behavioral Health, a Universal Health Services (UHS) facility in Charleston, South Carolina, used to verify insurance by phone, one patient at a time, at 15 to 90 minutes each. With VerifyTreatment (VerifyTX), intake, utilization review and the business office now work from the same benefit data, and verification takes minutes.
