Capabilities
Eligibility & Enrollment
Effectively utilizing resources already available. Navigator360° simplifies access to over 300 government programs with AI-powered tools and streamlined workflows that reduce denials, save staff time, and get eligible individuals enrolled.
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Government programs
95%
Form field autofill rate
47%
Fewer SNAP denials (RCT)
$80B
In benefits go unclaimed annually
Eligible People Aren’t Enrolling
Approximately 25% of people eligible for SNAP and 50% of those eligible for WIC do not participate — despite proven impact on health outcomes. SNAP enrollment reduces annual healthcare costs by $1,400–$4,100 per person. WIC reduces the likelihood of preterm birth by 48%.
The barriers are consistent: lack of awareness about eligibility, and application processes that are overwhelming and time-consuming for both applicants and the staff trying to help them.
Scale of the Problem
An estimated $80 billion in benefits go unclaimed annually — impacting healthcare, food security, housing stability, and economic mobility.
What Navigator360° Delivers
Form Streamlining
Pre-filled forms for 63 programs and growing. Auto-fills up to 95% of fields using existing patient data — from EHRs, prior intakes, and integrated sources.
Batch Capability
Scan multiple people across multiple programs simultaneously. Identify gaps in benefit enrollment across entire populations, not just individual cases.
Document Tracking
Real-time alerts for eligible benefits through omnichannel communication. Seamless document submission and management at every step of the enrollment process.
AI with Humans in the Loop
Expert recommendations leveraging probabilistic and deterministic AI. Guided workflows with targeted questions and auto-filled forms — with human correction capability at every step.
Proven Results
Improved Access to Services
Removes barriers to entry for eligible individuals. Empowers timely enrollment through real-time notifications and omnichannel outreach — without adding staff burden.
Reduced Application Denials
47% fewer denials for SNAP applications in a randomized controlled trial in Massachusetts. Accurate eligibility logic and pre-filled forms mean fewer errors and fewer rejections.
Increased Efficiency
Automated workflows save staff time and resources. AI-powered recommendations reduce manual work, and batch capability lets teams screen multiple people across multiple programs simultaneously.
Technical Capabilities
Navigator360° maps eligibility requirements for 227 government programs across 35 government agencies. PDF form processing for 63 programs. Electronic status updates on enrollment. Auto-fill from EHR data. Seamless document submission.
FHIR Integration
FHIR standards with most Electronic Health Records — eligibility screening embedded in the clinical workflow with no separate login.
Three Submission Lanes
API integration for programs with modern infrastructure. Web form automation for portal-based programs. PDF/eFax for programs still on paper.
Real-Time Determinations
Integrate eligibility screening with real-time determinations from government agencies where available, with deterministic logic for all others.
Data Reuse
Enable data reuse across multiple program applications. One intake. Every benefit the person qualifies for — without re-entering information.
See eligibility screening in action
Navigator360° works with government agencies, managed care organizations, health systems, and social care networks. Request a demo to see the eligibility engine live.
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