Verification Specialists, AI Assistance, and Workflow — in concert.
Veridian Public is a managed operations provider for state Medicaid verification. We combine trained verification specialists, AI-assisted outreach, and workflow technology to deliver scalable, compliant, citizen-centered operations — under your governance.
How a verification case actually moves through our operation.
Built for Eligibility Operations Directors who need to know exactly what runs inside their shop before signing. Six concrete views — not capabilities, mechanics. Each can be inspected during a procurement walkthrough.
Intake → triage → outreach → review → determination → audit log
Every verification case enters via state-system handoff or beneficiary submission. Triage classifies the work type (DMF match, NCOA, CE evidence, document review). Outreach exhausts the contact channels. Human reviewer prepares the evidence package. The state makes the determination. Every step is logged with timestamp, source, and rationale.
70 % specialists, 25 % AI-assisted ops, 5 % policy & compliance leads
Verification specialists average 7 years of state Medicaid eligibility experience. AI-assisted operations handle document classification, multilingual outreach drafting, and exception flagging. Every team has dedicated policy + compliance leadership. Engagement size scales linearly with case volume.
REST API, batch SFTP, or human-readable case-file exchange — pick one
No replacement of your state eligibility system. Sit alongside it via your preferred integration pattern. REST API for live two-way sync. Batch SFTP for nightly file exchange. Case-file workflow for states that prefer a clean paper trail. State systems remain the determinations of record.
Doc review ≤ 24 h · outreach attempt ≤ 48 h · exception escalation ≤ 4 business h
Concrete service levels you can write into the procurement document. Document review within one business day of receipt. Initial outreach attempt within two business days of case receipt. Exception cases escalated within four business hours to a human reviewer. Federal-audit-ready evidence package within 5 business days of any request.
HIPAA-BAA · SOC 2 Type II · US data residency · WCAG 2.1 AA
HIPAA business-associate agreement executed before any beneficiary data touches our infrastructure. SOC 2 Type II independently audited annually. AES-256 encryption at rest, TLS 1.3 in transit. US-only data centers. Audit log retention satisfies federal record-keeping minimums. Coordinated vulnerability disclosure published in /security.html.
Daily ops dashboard · weekly case-flow report · monthly federal-audit packet
Daily operations dashboard available to designated state staff. Weekly case-flow report covering volume, throughput, exception rate, and language-of-record distribution. Monthly federal-audit-ready evidence package suitable for direct submission. Ad-hoc reporting on request, typically delivered within 5 business days.
Ten Core Services
Each service can be delivered standalone or as part of a coordinated verification operations program.
Verification Operations Center
A centralized operations function dedicated to Medicaid verification workloads, with trained verification specialists, supervisors, and quality assurance.
Work / Community Engagement Verification Support
Outreach, response handling, document collection, exception management, and case coordination for community engagement verification activities.
SSA Death Master File Review Support
Match review, escalation handling, and beneficiary resolution workflows that protect against improper terminations from false-positive matches.
National Change of Address Follow-Up
Address validation, beneficiary outreach, confirmation, and update support to maintain accurate contact records.
Beneficiary Outreach & Response Management
Multi-channel, multilingual outreach (SMS, voice, mail, secure portal, email), reminder cadences, and structured response handling.
Document Collection Assistance
Guided submission support, secure intake, completeness review, and follow-up on incomplete documentation.
Exception Handling
Human-in-the-loop review for disputed, complex, or unresolved verification cases — with structured outcomes and traceable records.
Agency Support Desk
Helpdesk support for state staff, county eligibility offices, and Tribal Nation processing organizations.
Reporting & Compliance Operations
SLA tracking, dashboards, audit-ready records, and exportable reporting for state and federal review.
Multilingual Citizen Assistance
Language access services and accessible content that help beneficiaries navigate verification activities with confidence.
Operations + Technology + Trained People
Veridian Public is not a software-only platform. Our services are delivered by Medicaid-trained verification specialists, supported by AI-assisted outreach tools and workflow technology, and reinforced by quality assurance, supervisors, and compliance teams.
- Trained Medicaid verification specialists
- AI-assisted outreach and workflow tools
- Quality assurance and supervisor coverage
- Configurable to state policy
- Multilingual, accessible engagement
- Audit-ready records and reporting
Bring focused verification operations to your state's program.
Schedule a briefing to walk through service capabilities, staffing models, and engagement options.
Request a Briefing