Automating Medicaid eligibility to save over $1M a year
Care Advantage, a Virginia-based home care provider running on AlayaCare, replaced hundreds of hours of weekly manual eligibility work with automation built and run by Daya Labs.
Hundreds of hours a week, spent on paperwork
Administrative and nursing teams spent hundreds of hours each week manually checking Medicaid eligibility, preparing DMAS forms, and tracking compliance.
- closeLabor-intensive, repetitive manual processes
- closeHuman error and data inconsistencies
- closeDelays in Medicaid claim submissions and reimbursements
- closeHigher operating costs and growing staff frustration
End-to-end Medicaid eligibility automation
Daya Labs built a Medicaid eligibility automation that runs on top of Care Advantage's AlayaCare environment. Our forward-deployed engineers rolled it out with minimal disruption, handled sensitive patient data securely, and delivered measurable gains within weeks of deployment.
- verified_user
Eligibility checks
Automated Medicaid verification, instead of checking each client by hand.
- send
Authorization requests
Streamlined submission and status tracking.
- sync
AlayaCare data accuracy
Continuous sync and validation between payer data and AlayaCare.
- monitoring
Authorization status
Live status monitoring across the platform.
- fact_check
Compliance verification
Built-in audit readiness and reporting.
This automation saved our team countless hours each week and let us focus on patient care instead of paperwork. Our nurses got their lives back.
More than time saved
Stronger compliance
Automated checks make sure DMAS forms meet Medicaid requirements, so submissions go out on time and audits hold no surprises.
Room to grow
The workflows handle higher patient volumes without additional staff, ready to scale with the organization.
More time for care
Clinical staff refocused on quality care and timely delivery.
By keeping AlayaCare perfectly in sync with Medicaid eligibility data, we've drastically reduced claim rejections and ensured faster reimbursements.
The Daya Labs automation transformed a once cumbersome process into a scalable, reliable system that supports growth and quality.
Running complex Medicaid or reimbursement workflows?
In a 30-minute call, we map where your team loses the most time to manual eligibility and billing work, and what automating it is worth.