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The shift
Most Medicaid fraud and improper payments share one root cause: bad data at the front door. When the wrong person enrolls — or the right person enrolls twice, carries other coverage, or a provider credential is fabricated — every downstream system inherits the error. Federal scrutiny is now immediate: the Medicaid War Room and a 50-state provider audit have made prevention the standard.
Whats At Stake
Every missed identity verification, duplicate enrollment, or undisclosed insurance policy creates downstream costs for states, managed care organizations, and taxpayers.
$31 billion
in improper Medicaid payments were reported in FY2024.
2.8 million Americans
were identified as potentially enrolled in duplicate Medicaid or subsidized coverage.
Nearly 80%
of improper payments stemmed from missing documentation and eligibility verification issues.
$14 billion annually
could be saved by preventing duplicative enrollment.
1.2 million / month
appear enrolled in Medicaid or CHIP in more than one state at once
Billions more
are lost each year when Medicaid pays claims that should have been covered by another insurer first.
|

Learn More
The Approach
A facial-biometric anchor makes each member and provider record nearly impossible to fake — the CLEAR network already trusted by 40M+ people and live on Medicare.gov.
Integrated healthcare checks identifies duplicate enrollment or third party healthcare coverage at intake - including out of state Medicaid, Medicare, ACA, and commercial plans.
A simple verification result passes to your existing MMIS and E+E to use as you see fit. No replacement, no schema changes, no disruption. Stood up in 90 days alongside whatever claims-side analytics and systems you already run.
in partnership with

Next Steps
In under 90 days you hold documented outcomes: duplicates caught and third-party liability surfaced. Scale with confidence. No procurement, no infrastructure disruption, no schema changes.
Start the conversation
AI Offerings
AI Doc Extraction
AI Business Rules Engine
AI Voice Agent
AI Caseworker Assistant
Solutions by Program
Medicaid CE
Medicaid E&E
Medicaid FWA
WIC
SNAP
SUN Bucks
FMNP
Crisis Management
Communications
Company
Press & Blog
Careers
Privacy Policy
Terms & Conditions
Resources
FMNP Help Center
Help Center
Give Feedback
Android App
iOS App
Need Help?
In partnership with

Request a Demo



The shift
Most Medicaid fraud and improper payments share one root cause: bad data at the front door. When the wrong person enrolls — or the right person enrolls twice, carries other coverage, or a provider credential is fabricated — every downstream system inherits the error. Federal scrutiny is now immediate: the Medicaid War Room and a 50-state provider audit have made prevention the standard.
Whats At Stake
Every missed identity verification, duplicate enrollment, or undisclosed insurance policy creates downstream costs for states, managed care organizations, and taxpayers.
$31 billion
in improper Medicaid payments were reported in FY2024.
2.8 million Americans
were identified as potentially enrolled in duplicate Medicaid or subsidized coverage.
Nearly 80%
of improper payments stemmed from missing documentation and eligibility verification issues.
$14 billion annually
could be saved by preventing duplicative enrollment.
1.2 million / month
appear enrolled in Medicaid or CHIP in more than one state at once
Billions more
are lost each year when Medicaid pays claims that should have been covered by another insurer first.
|

Learn More
The Approach
A facial-biometric anchor makes each member and provider record nearly impossible to fake — the CLEAR network already trusted by 40M+ people and live on Medicare.gov.
Integrated healthcare checks identifies duplicate enrollment or third party healthcare coverage at intake - including out of state Medicaid, Medicare, ACA, and commercial plans.
A simple verification result passes to your existing MMIS and E+E to use as you see fit. No replacement, no schema changes, no disruption. Stood up in 90 days alongside whatever claims-side analytics and systems you already run.
in partnership with

Next Steps
In under 90 days you hold documented outcomes: duplicates caught and third-party liability surfaced. Scale with confidence. No procurement, no infrastructure disruption, no schema changes.
Start the conversation
Support
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The shift
Most Medicaid fraud and improper payments share one root cause: bad data at the front door. When the wrong person enrolls — or the right person enrolls twice, carries other coverage, or a provider credential is fabricated — every downstream system inherits the error. Federal scrutiny is now immediate: the Medicaid War Room and a 50-state provider audit have made prevention the standard.
Whats At Stake
Every missed identity verification, duplicate enrollment, or undisclosed insurance policy creates downstream costs for states, managed care organizations, and taxpayers.
$31 billion
in improper Medicaid payments were reported in FY2024.
2.8 million Americans
were identified as potentially enrolled in duplicate Medicaid or subsidized coverage.
Nearly 80%
of improper payments stemmed from missing documentation and eligibility verification issues.
$14 billion annually
could be saved by preventing duplicative enrollment.
1.2 million / month
appear enrolled in Medicaid or CHIP in more than one state at once
Billions more
are lost each year when Medicaid pays claims that should have been covered by another insurer first.
|

Learn More
The Approach
A facial-biometric anchor makes each member and provider record nearly impossible to fake — the CLEAR network already trusted by 40M+ people and live on Medicare.gov.
Integrated healthcare checks identifies duplicate enrollment or third party healthcare coverage at intake - including out of state Medicaid, Medicare, ACA, and commercial plans.
A simple verification result passes to your existing MMIS and E+E to use as you see fit. No replacement, no schema changes, no disruption. Stood up in 90 days alongside whatever claims-side analytics and systems you already run.
in partnership with

Next Steps
In under 90 days you hold documented outcomes: duplicates caught and third-party liability surfaced. Scale with confidence. No procurement, no infrastructure disruption, no schema changes.
Start the conversation
Support
Help Center