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The Coverage Management Platform

PointCare is the only platform that manages the complete coverage journey—from detection and outreach to enrollment and recovery—in one unified system.
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Navigate Medicaid Redetermination and Health Reform with Ease

Remove hidden barriers to care. Tackle invisible challenges to boost outcomes, save time, and ensure seamless patient journeys.
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Exemption Scan: Automatically checks all 37 possible Medicaid exemptions.
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Continuous Monitoring: Scanning for lapses 24/7, not just once a month.

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Bilingual Support: Fully native outreach in English and Spanish.
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Data Reconciliation: Cross-referencing clinic, plan, and state data.

How Pointcare Works

Coverage Intelligence

Our multi-source data reconciliation cross-references patient, clinic, health plan, and state agency data in real-time. We detect lapses 60-90 days before claims reject.

Automate Patient Outreach

Orchestrated campaigns convert unreached patients into covered patients. From text messages to phone calls, we connect every outreach touchpoint to enrollment outcomes.

Multi-Path Recovery

We don't just find the problem; we fix it. Whether it's retroactive eligibility or converting self-pay patients, Pointcare's workflows maximize reimbursement per visit.

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Continuous care starts with coverage.

See how we detect lapses, re-engage patients, submit enrollments, and keep coverage on track — automatically.

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