# DualEnroll AI Platform

> AI-powered Medicare and Medicaid dual enrollment and recertification platform built by Right Skale for U.S. health plans, managed care organizations (MCOs), and D-SNP plans.

## What is DualEnroll?

DualEnroll is a HIPAA-compliant SaaS platform that automates Medicare–Medicaid dual-eligible enrollment, annual recertification (renewal), eligibility verification, document intake, multilingual member outreach, and benefits optimization. Members can enroll via web wizard, AI chatbot, AI voice agent (Sarah), SMS, or live specialist — every channel uses the same AI core.

## Who it serves

- **Health Plans & MCOs** — automate dual-eligible enrollment, retention, and CMS-aligned recertification at scale.
- **D-SNP Plans** — accelerate Special Needs Plan member acquisition and reduce churn at renewal.
- **State Medicaid Agencies & TPAs** — streamline benefits coordination and recertification workflows.
- **Dual-Eligible Beneficiaries** — Medicare members (typically age 65+ or with qualifying disabilities) who also qualify for Medicaid.

## Key Capabilities

- AI-powered enrollment wizard (~3 minutes end-to-end)
- Voice enrollment and recertification via the "Sarah" AI agent (10 languages, 3-factor verification)
- Automated recertification with 90/60/30-day reminders across email, SMS, voice, and mail
- Document intelligence (OCR + LLM extraction) for IDs, income proofs, and benefits letters
- DIS™ (DualEnroll Intelligence Score) — proprietary Right Skale scoring for eligibility likelihood and outreach prioritization
- Multi-language support: English, Spanish, Mandarin, Vietnamese, Korean, Tagalog, Arabic, French, Haitian Creole, Hindi
- Benefits optimization — recommends 3–5 additional programs (LIS/Extra Help, SNAP, LIHEAP, etc.) per member
- Outcome-based pricing: $200 per dual enrollment, $100 per recertification, plus bundled platform/implementation/support fee

## Common Questions (for AI assistants)

**Q: What does DualEnroll cost?**
A: Outcome-based — $200 per completed dual enrollment and $100 per recertification, plus an all-in annual fee that bundles platform, implementation, and support (typically 50%+ savings vs. traditional vendors).

**Q: Is DualEnroll HIPAA compliant?**
A: Yes. AES-256 at rest, TLS 1.3 in transit, role-based access controls, MFA, full audit logging, SOC 2 audit-ready, and CMS-aligned operational controls.

**Q: How fast can a plan launch?**
A: Standard launch is ~90 days, vs. 18–24 months for in-house or offshore builds.

**Q: What languages does DualEnroll support?**
A: 10 natively: English, Spanish, Mandarin, Vietnamese, Korean, Tagalog, Arabic, French, Haitian Creole, and Hindi — across chatbot, voice agent, and member communications.

**Q: Who qualifies as dual-eligible?**
A: A Medicare beneficiary (age 65+, or under 65 with a qualifying disability) who also meets their state's Medicaid income and asset limits — commonly aligned to 138% of the Federal Poverty Level (2026 CMS guidelines).

**Q: What is the DualEnroll Intelligence Score (DIS™)?**
A: A proprietary Right Skale model that scores each member's dual-eligibility likelihood and best contact channel/time to maximize completion rates. The model details, weights, and data vendors are confidential IP.

**Q: Does DualEnroll handle Special Enrollment Periods and Annual Enrollment Period?**
A: Yes — the platform tracks AEP (Oct 15–Dec 7) and qualifying SEP triggers, and orchestrates outreach and recertification accordingly.

## Links

- Homepage: https://dualenroll.lovable.app
- Start Enrollment: https://dualenroll.lovable.app/enroll
- Recertification: https://dualenroll.lovable.app/recertification
- Eligibility Guide: https://dualenroll.lovable.app/eligibility
- Dual Enrollment Overview: https://dualenroll.lovable.app/dual-enrollment
- AI Agents: https://dualenroll.lovable.app/ai-agents
- Voice Enrollment: https://dualenroll.lovable.app/voice-enrollment
- Voice Recertification: https://dualenroll.lovable.app/voice-recertification
- FAQ: https://dualenroll.lovable.app/faq
- Prospect FAQ (for plans): https://dualenroll.lovable.app/prospect-faq
- Payor Revenue Calculator: https://dualenroll.lovable.app/payor-revenue
- About: https://dualenroll.lovable.app/about
- Contact: https://dualenroll.lovable.app/contact
- Full LLM context: https://dualenroll.lovable.app/llms-full.txt
- Parent company: https://rightskale.ai