In partnership with

Address Medicaid fraud at the front door

An upstream enrollment-integrity layer that verifies members & providers before a payment is ever generated.

Request a Demo

The shift

Pay-and-chase is over

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

Bad data at enrollment becomes expensive data everywhere else.

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.

|

Healthy Together and CLEAR Partner to Help States Prevent Medicaid Fraud

Learn More

The Approach

Verify once, upstream — everything downstream gets cleaner.

Biometric Identity Anchor

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.

Enrollment & Coverage Verification

Integrated healthcare checks identifies duplicate enrollment or third party healthcare coverage at intake - including out of state Medicaid, Medicare, ACA, and commercial plans.

Complement, Not Replace

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

Address Fraud Before It Starts

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

Need Help?

In partnership with

Address Medicaid fraudat the front door

An upstream enrollment-integrity layer that verifies members & providers before a payment is ever generated.

Request a Demo

The shift

Pay-and-chase is over

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

Bad data at enrollment becomes expensive data everywhere else.

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.

|

Healthy Together and CLEAR Partner to Help States Prevent Medicaid Fraud

Learn More

The Approach

Verify once, upstream — everything downstream gets cleaner.

Biometric Identity Anchor

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.

Enrollment & Coverage Verification

Integrated healthcare checks identifies duplicate enrollment or third party healthcare coverage at intake - including out of state Medicaid, Medicare, ACA, and commercial plans.

Complement, Not Replace

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

Address Fraud Before It Starts

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

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Solutions by Program

Company

Resources

Need Help?

In partnership with

Address Medicaid fraudat the front door

An upstream enrollment-integrity layer that verifies members & providers before a payment is ever generated.

Request a Demo

The shift

Pay-and-chase is over

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

Bad data at enrollment becomes expensive data everywhere else.

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.

|

Healthy Together and CLEAR Partner to Help States Prevent Medicaid Fraud

Learn More

The Approach

Verify once, upstream — everything downstream gets cleaner.

Biometric Identity Anchor

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.

Enrollment & Coverage Verification

Integrated healthcare checks identifies duplicate enrollment or third party healthcare coverage at intake - including out of state Medicaid, Medicare, ACA, and commercial plans.

Complement, Not Replace

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

Address Fraud Before It Starts

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