Praxis and Centene Integration for Healthcare Claims and Eligibility Processing

Connect your systems: Your AI Deployment Engineer works with your team to securely connect Praxis and Centene, mapping patient demographics, Medicaid/Medicare details, and claims data fields. The platform establishes secure data pathways between your EHR and Centene's managed care systems. Define the workflow: Specify your eligibility verification rules, claims submission criteria, and prior authorization triggers for government-sponsored programs. Your AI Deployment Engineer configures the workflow logic, including when to verify Medicaid eligibility, how to handle program-specific requirements, and which data elements to transfer. AI Employees take over: Once deployed, AI Employees autonomously verify patient eligibility for Centene plans, submit claims with program-compliant documentation, and process pre-authorization requests. They work 24/7, handling repetitive eligibility and claims tasks while your staff focuses on complex cases. Monitor performance transparently: AI Judges continuously audit every eligibility check and claims submission, ensuring accuracy and compliance with Centene and government program requirements. You receive real-time visibility into verification rates, claim acceptance, and any exceptions requiring human review. Scale to more workflows: After optimizing claims processing, expand to additional workflows like denial management, payment posting, or care coordination across all your managed care payers.