AI-Powered Medicaid Enrollment Platform

Turn Uncompensated Care
into Medicaid Revenue

Enrollix Health's MediEnroll AI is the leading Medicaid enrollment platform for health systems — guiding uninsured patients from eligibility screening to Medicaid approval, fully integrated with your EHR via FHIR. Partnering with health systems nationwide — wherever uncompensated care is a challenge.

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$10M+
Potential revenue recovery
per health system annually
Nationwide
Partnering with health systems
across the United States
90-Day
Pilot program with
defined ROI metrics
EHR
Native FHIR R4
integration
Millions of Americans are eligible for Medicaid
but remain unenrolled — not by choice, but by complexity.
Complex applications Language barriers Low digital literacy Manual navigator workload Lost hospital revenue

Full-lifecycle enrollment — from first question to coverage confirmed

MediEnroll AI, powered by Enrollix Health, guides patients through every step via a mobile-first AI chatbot — in their language, at their pace.

  • 🔍
    Eligibility Screening AI collects demographics, income, and household data — instantly determining Medicaid eligibility against state-specific criteria.
  • 📋
    Application Completion Pre-fills applications using your health system's EHR data via FHIR. Saves progress so patients can return and finish on their own time.
  • 📎
    Document Collection Secure mobile upload of ID, pay stubs, and supporting documents. Never blocks submission — collected asynchronously.
  • 📡
    State Portal Submission Direct API integration with state Medicaid portals — calibrated to your state prior to pilot launch. No manual re-entry.
  • 🔔
    Status Tracking & Renewals Real-time application status updates to patients and health system navigators. Annual renewal reminders included.
Patient
Hi — I was told I might qualify for Medicaid. Can you help me find out?
MediEnroll AI
Absolutely. I can check your eligibility right now — it only takes about 5 minutes. Do you have any children or dependents living in your household?
Patient
Yes — there are 3 of us, including my two kids. I bring in about $1,800 a month.
MediEnroll AI
✓ Good news — at $1,800/month for a household of 3, your children qualify for SC Healthy Connections Medicaid (income limit: $3,450/month at 213% FPL), and you likely qualify as a parent/caretaker as well. Let's get your application started.
The Process

Five steps from encounter to enrolled

Deployed at the point of care. Integrated with your existing workflows. Zero staff burden.

1

Patient Identified

Uninsured patient arrives. Health system staff share a link or QR code at registration, ED, or bedside.

2

AI Screens Eligibility

The chatbot asks plain-language questions. Pulls existing data from your EHR to pre-fill — reducing patient burden significantly.

3

Application Completed

Patient completes their application conversationally — in English or Spanish, on any device, with save-and-return capability.

4

Submitted to State

Application submitted directly to the state Medicaid portal via API. Documents collected securely in the background.

5

Coverage Confirmed

Patient and health system navigator notified of approval. Coverage status flows back into your EHR automatically.

Live Demo

Try MediEnroll AI — South Carolina screener

Walk through the actual patient experience. This demo applies real SC Healthy Connections Medicaid eligibility rules.

SC Medicaid eligibility rules used

👶
ChildrenUp to 213% FPL — approximately $3,450/month for a household of 3
🤰
Pregnant WomenUp to 199% FPL — includes 12 months of postpartum coverage
👨‍👩‍👧
Parents / CaretakersUp to 100% FPL with dependent minor children in household
Working DisabledUp to 250% FPL for individuals with qualifying disability
🏥
Aged / Blind / DisabledAge 65+, blind, or disabled — escalated to navigator for full review
🆔
Residency & CitizenshipMust be SC resident and U.S. citizen or lawful permanent resident
This is a demonstration using real SC eligibility criteria. In production, patient data is pre-filled from your EHR via FHIR — patients answer fewer questions and applications are submitted directly to SCDHHS.
MediEnroll AI
SC Healthy Connections screener · Demo
Screening progress 0%
See It In Action

Watch MediEnroll AI in Action

Step through the full patient experience — from eligibility screening to application submission — powered by real Medicaid rules.

Interactive demo — runs entirely in your browser. No patient data is collected or transmitted.

For Health Systems

Every enrollment is revenue recovered

Enrollix Health is built for health system CFOs, patient access leaders, and CIOs — not just patients.

💰

Revenue Recovery

Each Medicaid enrollment converts uncompensated care into reimbursable revenue. The ROI is immediate and measurable.

$3K–$10K
average Medicaid value per enrolled patient per year
🔗

Deep EHR Integration

Native FHIR R4 integration pulls patient demographics and insurance status directly from your EHR to pre-fill applications — reducing friction and improving accuracy. Compatible with Epic, Cerner, Meditech, and more EHR platforms.

FHIR R4
native EHR integration — Epic, Cerner, Meditech, and more
👥

Navigator Dashboard

Human navigators receive a prioritized escalation queue. Complex cases, high-dollar accounts, and edge cases route automatically to your team.

AI + Human
confidence scoring drives smart escalation to your existing navigator staff
🛡️

HIPAA Compliant

Built on AWS with end-to-end encryption, comprehensive audit logging, and a Business Associate Agreement executed at contract signing.

AWS + BAA
HIPAA-eligible infrastructure with formal BAA for every health system partner

Actively accepting design partner health systems nationwide — pilot spots are limited.

Become a Design Partner
Who We Partner With

Design Partner Types

MediEnroll AI is built for any organization carrying uncompensated care from uninsured patients who qualify for Medicaid. These are the facility types we are actively seeking as design partners.

🏥

Health Systems

Large health systems and regional hospital networks carry the heaviest uncompensated care burden. MediEnroll AI scales across multiple facilities, EHR environments, and patient access workflows — delivering system-wide enrollment lift and measurable revenue recovery from day one of the pilot.

🛏️

Skilled Nursing Facilities (SNFs)

SNFs frequently admit patients who exhaust Medicare coverage and transition to Medicaid — but the enrollment window is narrow. MediEnroll AI accelerates the SNF-to-Medicaid transition, reducing days in financial limbo and protecting per-diem revenue that would otherwise go uncompensated.

🏡

Assisted Living Facilities (ALFs)

Many ALF residents and their families are unaware of Medicaid waiver programs that cover long-term care. MediEnroll AI guides families through eligibility screening for home and community-based services (HCBS) waivers — helping ALFs reduce private-pay default risk and secure stable Medicaid funding.

🌾

Rural Health Clinics (RHCs)

Rural clinics serve high proportions of uninsured patients with limited staff to manage enrollment. MediEnroll AI's mobile-first, AI-guided workflow requires no dedicated navigator — patients self-navigate enrollment on any phone, in English or Spanish, with automatic escalation only when needed.

🏛️

Federally Qualified Health Centers (FQHCs)

FQHCs are mission-driven to serve uninsured and underinsured patients — but uncompensated care limits capacity. MediEnroll AI turns FQHC patient populations into enrolled Medicaid members, improving the FQHC's prospective payment and enabling sustainable growth in the communities they serve.

👨‍⚕️

Independent Physician Practices

Independent practices often lack the administrative bandwidth to screen and enroll uninsured patients. MediEnroll AI integrates directly with practice EHR systems via FHIR, pre-fills applications from existing patient data, and guides patients to enrollment without burdening front-desk staff.

Is your facility type listed above? Let's talk about a 90-day pilot.

Become a Design Partner
EH
Enrollix Health
Founder & CEO
Health Systems Medicaid Access Healthcare AI Nationwide
"Every day, eligible patients leave health systems without coverage — not because they don't qualify, but because no one guided them through the process."

Enrollix Health was founded to close the gap between Medicaid eligibility and Medicaid enrollment. We built MediEnroll AI to give every uninsured patient the same experience as having a personal enrollment navigator — available 24/7, in their language, on their phone.

We partner with health systems — not around them. Our platform is designed to integrate with your existing Epic workflows, support your navigator team, and make your patient access program measurably more effective.

We are actively accepting design partners nationwide. If your organization is ready to turn uncompensated care into Medicaid revenue, we want to hear from you.

HIPAA Compliant EHR FHIR Native Mobile First 75+ Languages AWS Bedrock + Claude
Get In Touch

Ready to recover revenue from uncompensated care?

We are currently accepting design partner health systems nationwide. Let's talk about what a 90-day pilot looks like for your organization.

Design Partner Program

Design partners receive priority access, product input rights, and discounted long-term contract pricing in exchange for pilot participation and feedback.

What to Expect

A 90-day pilot scoped to your highest-volume uninsured population — typically ED patients. Defined success metrics agreed upfront. Full Epic integration and navigator dashboard included.

📍
Pilot Markets Nationwide — health systems, SNFs, ALFs, FQHCs, and rural health clinics
🏥
Pilot Partner Health system in South Carolina — in discussion

Frequently asked questions

Everything health system leaders need to know about AI-powered Medicaid enrollment technology.

What is Medicaid enrollment software and how does it help health systems?

Medicaid enrollment software helps health systems identify uninsured patients who qualify for Medicaid and guides them through the full application process. MediEnroll AI automates eligibility screening, application completion, document collection, and direct submission to state Medicaid portals — converting uncompensated care into reimbursable Medicaid revenue typically worth $3,000 to $10,000 per enrolled patient annually.

How does MediEnroll AI integrate with Epic and other EHR systems?

MediEnroll AI connects to Epic, Cerner, Meditech, and other EHR platforms via FHIR R4 APIs. Patient demographics, insurance status, and contact information are pulled directly from the EHR to pre-fill Medicaid applications — reducing patient burden, eliminating duplicate data entry, and improving application accuracy. Coverage status flows back into the EHR automatically upon enrollment approval.

Which states does Enrollix Health support for Medicaid enrollment?

Enrollix Health is actively expanding nationwide. Our state-specific rules engine is built to maintain current eligibility criteria, income limits, and program requirements for any state — updated on a regular review cycle. We are currently onboarding design partner health systems and calibrate our rules engine to each partner's state prior to pilot launch. Contact us to discuss your state's Medicaid program.

Is MediEnroll AI HIPAA compliant?

Yes. MediEnroll AI is built on HIPAA-eligible AWS infrastructure with AES-256 encryption at rest, TLS 1.2+ in transit, comprehensive audit logging via AWS CloudTrail, and role-based access controls. A Business Associate Agreement is executed with every health system partner prior to go-live. Our platform exceeds HIPAA Security Rule requirements for electronic Protected Health Information.

What is the ROI of AI-powered Medicaid enrollment for health systems?

Health systems with high uninsured patient volumes can recover $10 million or more annually through systematic Medicaid enrollment improvement. Each successful enrollment converts previously uncompensated care into reimbursable Medicaid revenue — typically $3,000 to $10,000 per patient per year depending on the care provided. Our 90-day pilot program establishes a baseline and tracks revenue conversion, application submission rates, and enrollment approval rates with full transparency.

How does MediEnroll AI work with our existing navigator team?

MediEnroll AI is designed to augment your existing patient access and navigator team — not replace them. Our AI confidence scoring system automatically escalates complex cases, high-dollar accounts, and edge cases to your navigators through a dedicated dashboard. Your team focuses on the cases that need human judgment while the AI handles routine screening and application completion at scale.