MEDICAID RECERTIFICATION SOLUTION
AI AGENT

Document Management Agent

Automated document validation system that tracks, verifies, and manages all required paperwork for Medicaid applications, ensuring nothing falls through the cracks.

100% Accuracy
2.3 min Processing
OCR + AI Validation

DAILY PROCESSING

12,847

Documents Processed

98.7%

Auto-Validation Rate

1,234

Issues Prevented

Core Responsibilities

Document Capture

Accepts uploads via mobile photos, scans, faxes, and direct EHR transfers with automatic quality enhancement.

Intelligent Validation

Uses OCR and AI to extract data, verify authenticity, check expiration dates, and ensure compliance.

Proactive Alerts

Notifies patients and staff about missing, expiring, or invalid documents before they cause issues.

Document Processing Pipeline

Multi-Channel Intake

Receives documents via patient portal uploads, mobile app photos, email attachments, fax, or direct healthcare system integration.

AI Enhancement & OCR

Automatically enhances image quality, removes shadows, straightens documents, and extracts text using advanced OCR technology.

Authenticity Verification

Checks for document tampering, verifies issuing institutions, validates signatures, and confirms document hasn't been previously submitted.

Compliance Validation

Ensures documents meet state-specific Medicaid requirements, checks date validity, and confirms all required fields are present.

Secure Storage & Retrieval

Stores documents with military-grade encryption, maintains audit trails, and provides instant retrieval for authorized personnel.

Document Tracking Dashboard

Document TypeRequiredReceivedValidatedCompletion
Pay Stubs892
847
823
Identity Verification1243
1201
1189
Residency Proof743
698
684
Medical Records456
412
398

Security Features

256-bit Encryption

End-to-end encryption at rest and in transit

HIPAA Compliant

Full audit trails and access controls

Fraud Detection

AI-powered document authenticity verification

Alert Management

Critical

Missing Required Documents

23 patients need immediate action

Warning

Expiring Documents

47 documents expire within 30 days

Info

Quality Issues

12 documents need re-upload

System Integrations

Box Health

AWS S3

Google Cloud Vision

Adobe Document Cloud

DocuWare

OnBase

SharePoint

Dropbox Business

AI-Powered Medicaid Enrollment & Healthcare Access | HeyMedicaid