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Eligibility Management

A cloud-based member enrollment and eligibility data management solution for commercial, Medicare, Medicaid, and Public Exchange markets, VIDABility™ enhances member visibility for the entire life-cycle of the member.

VIDABility™ is a comprehensive solution that manages the coverage and relationships of insured members and their dependents and increases the visibility for the entire life-cycle of members. It provides easy access to member eligibility information from multiple sources in real-time while maintaining the most accurate eligibility data, in one place, all the time.



  • Simplifies and improves member administration via member-centric architecture and access to real-time data
  • Provides single source and visibility into the member transactions via user interface for improved customer service
  • Reconciles premium payments to eligibility for Medicare and Medicaid programs
  • Adaptable to meet changing business needs and scalable to meet growth demands



  • Manages enrollment and eligibility records for Medicaid and commercial exchange
  • Allows Medicare Advantage eligibility processing and maintenance:
    • Enrollment request processing (MARx)
    • Updating enrollment statuses
    • Benefit Eligibility Query (BEQ) request and response processing
    • CMS enrollment response processing (DTRR)
  • Enables configuration of coverage levels, relationships and vendors
  • Provides member-provider assignment functionality
  • Permits unlimited benefit packages and premium structures
  • Eliminates duplicate data entry and associated complexity and problems
  • Allows unlimited insurance and relation tracking of insured members and any related entities
  • Ensures most accurate data is available in real-time
  • Provides transaction history traceability by member

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VIDABility™ Datasheet

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