Medicaid Enterprise Systems – Provider Services Module

Client Network Services, LLC (CNSI)

CNSI delivers a broad range of health information technology enterprise solutions and configurable products to a diverse base of State and Federal agencies. We align, build, and manage innovative, high-quality, cost-effective solutions that help clients achieve their mission. CNSI’s evoBrix® Provider Management Module is a fully automated web-centric enrollment application capturing high-quality provider information needed for a range of business uses including credentialing, directories, sanctions monitoring and payments. It is fully compliant with ACA regulations and is built around rules-driven and data-driven components that provide extreme performance and configurability. A rich user interface enables business operations staff to efficiently manage data as well as process and monitor transactions through a well-defined workflow. It is the only operational SaaS Provider Management solution in the Medicaid market. In addition to the base Provider Management Module, CNSI offers Option A which implements standards-based interoperability between the Provider Self-Service portal and back-end Eligibility and Claims modules. For Option B, CNSI has partnered with Noridian Healthcare Solutions, LLC (Noridian) to bring mature and scalable CRM and IVR solutions backed by experienced call center operations and business operations teams.