Lead Generation

Drive lead generation for all third party liability efforts through a streamlined, automated process.

Cut through the data chaos.

The key to solving any Medicaid third party liability (TPL) issue is data. But in the complex world of Medicaid, with nearly an infinite amount of data, how can anyone realistically sort through it all to find the right information needed to pursue recovery or cost avoidance opportunities? That’s where we come in.

In the context of TPL at KL&A, we refer to a lead as the identification of information from various sources that can help in the TPL process. We cut through the chaos of overwhelming, outdated, or inaccurate data to find those potential opportunities of recovery for your program. Ensuring that all scenarios from coverage lead identification to legal liability case generation, are identified and pursued can increase recoveries and cost avoidance for more money back in your state’s program.

Our TPL experts are dedicated to providing you with the most comprehensive automated solutions and services available. We can help you identify a broader scope of potential leads to nurture through our extensive sourcing opportunities and automation tools. Our approach leaves no piece of available data unchecked, improving recovery potential and prioritizing a more effective and efficient process.

The possibilities and potential.

Our combination of expertise and experience connecting extensive data sources for each individual state sets us apart from similar providers and enables us to provide you with the highest quality data and the best possible results. KL&A’s team of experts has years of experience in the TPL space and knows how to navigate the complexities of TPL programs. Whether you’re searching for a customizable solution to easily integrate within your system or a set of modular solutions, you’ve come to the right place. We understand that every state Medicaid program is unique and requires a customized approach, which is why we work closely with you to develop a strategy that meets your specific needs and goals.

Public Facing Portal

Whether you’re working with legal liability case management or insurance coverage, our solution will streamline your TPL processes with accessible portals created to curate information submitted directly from third parties.

  • Increase workflow efficiency with the direct integration of information to your MMIS submitted by outside sources such as attorneys, providers, beneficiaries, etc.
  • Improve your coverage accuracy to help with cost avoidance and identify trends in missing coverage with a simple validation process for new submissions.
  • Automatically generate new leads if none already exist and update the existing leads with newly gathered information in real-time.

Public Facing Portal

Whether you’re working with legal liability case management or insurance coverage, our solution will streamline your TPL processes with accessible portals created to curate information submitted directly from third parties.

  • Increase workflow efficiency with the direct integration of information to your MMIS submitted by outside sources such as attorneys, providers, beneficiaries, etc.
  • Improve your coverage accuracy to help with cost avoidance and identify trends in missing coverage with a simple validation process for new submissions.
  • Automatically generate new leads if none already exist and update the existing leads with newly gathered information in real-time.

Coverage Lead Identification

Increase your cost avoidance potential with our expert services and experience around insurance coverage lead generation.

  • Open new channels for coverage leads by analyzing the state of your data within your Medicaid enterprise solutions to improve accuracy.
  • KL&A’s expertise runs deep, with experience in coverage leads like coverage from another parent identified via child support payments, missing medical coverage when corresponding pharmacy coverage is found, and duplicate or incorrect coverage.
  • Empower your team to work more efficiently and focus on high priorities with help from our TPL experts who can tackle the initial tough work for you.

Trauma Edit Questionnaires (TEQ)

Save time and effort by automating TEQ processes including managing diagnosis codes, generating questionnaires and responses, and creating cases.

  • Make informed decisions and determine the most cost-effective process in each situation for your state with all of the tools and data at your disposal.
  • Reduce the effort needed for TEQs with automatic identification of members and questionnaire generation, as well as easy integration with print centers.
  • Improve recovery process efficiency with simple case creation based on responses from beneficiaries.

Trauma Edit Questionnaires (TEQ)

Save time and effort by automating TEQ processes including managing diagnosis codes, generating questionnaires and responses, and creating cases.

  • Make informed decisions and determine the most cost-effective process in each situation for your state with all of the tools and data at your disposal.
  • Reduce the effort needed for TEQs with automatic identification of members and questionnaire generation, as well as easy integration with print centers.
  • Improve recovery process efficiency with simple case creation based on responses from beneficiaries.

System Integrator and Additional Lead Identification

Increase your recovery potential with comprehensive data mining tactics and streamlined custom integrations.

  • Support your third party liability efforts with automated identification of even more niche areas such as Auto Accidents, Child Support Payments, Tort, Worker’s Compensation, and more.
  • Ensure data accuracy and increase lead potential by integrating with a wide variety of system types, including but not limited to; Accounts Receivable Systems, Enterprise Data Warehouses, Enterprise Document Management Systems, sister agency systems, and your existing MMIS.
  • Boost all of your lead-related workflows with our system integrator expertise. Or allow us to serve as your middleman to help make those connections with your other systems without additional modules needed from us.

The bottom line.

A software solution that streamlines lead generation and automates many administrative processes offers a variety of benefits that can positively impact your TPL program. And with flexible and customizable modularity designed just for you, you can easily integrate our solution into an existing system or add on more solutions and services from our experts.

Improve Efficiency

Provide a more streamlined and optimized TPL process. By automating many of the manual processes involved in the identification stages, such as data entry and record keeping, the software can help ensure that no potential leads are missed. This all allows your team to focus on more high-value tasks such as improving cost avoidance, following up on promising leads, and negotiating settlements.

Comprehensive Sourcing

Comprehensive data sourcing can help you optimize your recovery efforts by providing a more complete picture of your potential TPL claims. By identifying liable third parties from multiple data sources, you can gain a better understanding of the full scope of your recovery opportunities and prioritize your state’s efforts accordingly.

Increase Accuracy

By utilizing multiple data sources, you can cross-check information and ensure that what you pursue is accurate and actionable. This can help you strengthen your cost avoidance, reduce access to care issues, and avoid pursuing false leads or wasting time better spent elsewhere.

Integration Opportunities

Our solution easily integrates with existing systems or other modules, making it a seamless addition to your current operations. This allows you to take advantage of the benefits of the software without having to overhaul your entire system, resulting in a more efficient and cost-effective solution.

Connect all the dots!

Automated identification processes are only one piece of a much larger puzzle. Connect the pieces for the bigger picture with our additional modules that can use this data to support the specific needs of Insurance Coverage services and Legal Liability Case Management.

INSURANCE COVERAGE

Let’s boost your cost avoidance efforts with dedicated support for everything coverage related.

LEGAL CASE MANAGEMENT

Easily manage all of your legal liability cases with customizable workflows and configurable correspondence generation.

Let’s level up your leads.

No more chasing. Less manual work. Increased lead potential and recoveries.

Pin It on Pinterest