Eligibility and Enrollment
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Unlock Access to Over 300 Government Programs

Many government programs are designed to provide vital assistance to individuals and families in need. However, these programs are often underutilized, with a significant number of eligible individuals not enrolling despite proven impact on health and well being outcomes, and reduced cost of care. For example, approximately 25% of people eligible for SNAP (Supplemental Nutrition Assistance Program) and 50% of those eligible for WIC (Women, Infants, and Children Program) do not participate. SNAP enrollment is associated with a reduction in annual healthcare costs of $1,400-$4,100 per person and WIC is shown to reduce the likelihood of preterm births by 48%.

Why does this happen?

The two primary barriers are lack of awareness and difficulty in applying. Many people are unaware of their eligibility or find the application processes overwhelming and time-consuming.
Open City Labs (OCL) is here to break down those barriers and improve enrollment in 3 different ways:
  1. Staff Navigators assisting their patients/clients can more easily enroll government programs or services in the community using Navigator360°.
  2. Staff responsible for enrolling people in their organizations’ programs, can more easily screen applicants, and complete enrollment forms and workflows using Navigator360°.
  3. Patients/Clients can use our patient facing app to discover and enroll in services.

Eligibility And Enrollment Video

Key Features of Our Eligibility and Enrollment Technology

Benefit from Existing Programs

OCL works with over 300+ government programs to connect individuals to resources across healthcare, food assistance, housing, education, employment, and financial support and leverage existing programs that have been historically underutilized.

Person Centered
Explore, search, and receive personalized recommendations for government and non-government programs, as part of your organization’s existing workflow.
Streamline Enrollment Forms
Pre-filled forms for 63 programs (and growing), saving time and reducing errors.
Seamlessly Track Required Documents
Our products are seamlessly designed to conceal the complexity of differing program requirements for required documents, so the people you serve can seamlessly access services.
Seamlessly Track Required Documents
Stay ahead with real-time alerts for eligible benefits through omnichannel communication campaigns to inform and engage individuals. Encourage online applications, phone assistance, or in-person appointments.

Streamlined Enrollment Workflows

Simplify complex applications with tools designed to save time and effort. OCL is willing to create workflows around your unique eligibility and enrollment workflows.

Auto-fill Forms
Populate up to 95% of fields using existing data. Cut down on staff time to complete enrollment application forms while utilizing the entire patient record to auto fill eligibility questions and enrollment forms.
Easy Enrollment
Apply for multiple programs with one submission, or easily add additional information for partially qualified applicants.
Batch Capability
Quickly scan multiple people across multiple programs to see if they qualify or partially qualify for those benefits.

Eligibility Determination at Scale

We leverage AI with humans in the loop to make it possible to scale to be able to compute eligibility for thousands of programs, more accurately, and at a fraction of the cost of existing integrated eligibility systems.

Expert Recommendations
Leveraging probabilistic and deterministic AI plus trained program experts to verify accuracy.
Guidance
Guide staff through targeted questions to collect necessary details.
Adjust Accordingly
Auto fill forms with existing data, and allow for human corrections or updates.

Integrated Into Your Application

Our eligibility tool can work as part of Navigator360° or used as an integrated tool within your EHR and/or Case management system.

Launch
Launch directly from your system and generated pre-filled applications.
Modern Standards
Leveraging modern technology and up-to-date interoperability standards allows for various integration methods.
Modular Approach
Our eligibility and enrollment capabilities are part of our Navigator360° system, or can be used as its own product within other systems.

Benefits of Open City Labs Eligibility and Enrollment- The OCL Difference

<strong>Improved Access to Services:</strong>
Improved Access to Services:
  • Remove barriers to entry, ensuring eligible individuals receive vital support - leveraging existing programs.
  • Empower individuals to enroll in programs for which they are eligible with timely notifications.
<strong>Reduce Application Denials:</strong>
Reduce Application Denials:
  • 47% fewer denials for SNAP applications in Massachusetts during a randomized controlled trial.
  • Leverage AI-powered integration for dependable eligibility checks and error-free enrollment.
<strong>Increased Efficiency:</strong>
Increased Efficiency:
  • Automate workflows to save time and resources for staff and agencies.
  • AI-powered recommendations does the hard work for humans to adjust.

Our modular approach

We understand that true interoperability is a team sport. If you have an existing referral management system that is working for your network, we are happy to provide solutions that can integrate our system with an existing referral management system.