Accuracy Assistant™

Agencies need accurate eligibility and claims decisions across multiple systems, evolving policies, and high workloads. Accuracy Assistant identifies discrepancies earlier, supports human-led decisions, and targets quality assurance efforts for the greatest impact.

Accuracy Assistant™ helps agencies improve eligibility, payment, and claim accuracy

Combining AI-enabled decision support with human oversight, Accuracy Assistant helps improve accuracy, reduce rework, strengthen program integrity, and support more consistent outcomes.

What is Accuracy Assistant?

Accuracy Assistant is a decision-support solution that helps government agencies identify potential errors before eligibility determinations or benefit payments are finalized. The solution works alongside existing staff, processes, and systems to improve quality review, policy application, and operational performance. It's designed to support human decision-making, not replace it.

Accuracy Assistant combines three core capabilities:

Policy guidance and knowledge assistance through Compliance Chat
Workflow support and case review through Case Navigator
Risk-based quality assurance through Automated Quality Assurance (QA)

Together, these capabilities help agencies identify inconsistencies, improve review quality, and prevent errors earlier in the workflow.

How Accuracy Assistant works

Delivered as a hosted Software-as-a-Service (SaaS) solution, Accuracy Assistant integrates with existing workflows and systems without requiring agencies to replace their current operating environment.

While staff receive support throughout the review and decision process, the solution continuously analyzes available information, identifies potential concerns, and helps prioritize cases that may require additional review.

Built-in reporting and analytics help agency leaders identify trends, target training opportunities, and continuously improve operational performance and decision quality.

Three capabilities working together

Review case information

Case Navigator supports application review, case preparation, interviews, summaries, and documentation to identify missing information and important case details before work begins. It also generates summaries and recommended next steps to help staff prepare more efficiently and focus on the information most relevant to each case, all within a consistent workflow experience.

Provide information and guidance

During interviews and case processing, staff have instant access to policy guidance, procedures, and operational rules using curated agency-approved content. Compliance Chat helps improve consistency and reduce the time spent searching for information.

Detect discrepancies and assess risk

Automated QA uses predictive analytics, real-time document analysis, and business rules to identify inconsistencies, highlight higher-risk cases, and surface issues that may require additional review before decisions are finalized.

The technology behind the solution

Accuracy Assistant combines multiple technologies to support quality assurance and decision accuracy throughout the review process.

Predictive analytics help identify cases with characteristics associated with higher error risk.
Intelligent document processing extracts and analyzes information from forms, correspondence, and supporting documentation.
Natural language processing helps interpret case information, conversations, and policy content.
Real-time case file analysis compares information across data sources to identify discrepancies and potential quality concerns.
Human-in-the-loop workflows keep agency staff in control of final decisions and actions.

Program accuracy and decision support

SNAP

Identify high-risk cases, reduce payment errors, support eligibility workers, improve decision accuracy, and strengthen program integrity.

Explore SNAP solutions

Medicaid

Improve eligibility and renewal accuracy, support compliance, reduce procedural errors, and strengthen member eligibility determinations.

Explore Medicaid solutions

UI

Improve claim accuracy, support adjudication consistency, identify higher-risk claims, and reduce rework before unemployment insurance payments are issued.

Explore UI solutions

Why choose Accuracy Assistant?

Improve accuracy before decisions are finalized. Traditional quality assurance often identifies problems after action has already been taken. Accuracy Assistant helps agencies address data inconsistencies before determinations or payments are finalized.
Support frontline staff. Eligibility workers and claims ajudication staff receive guidance, summaries, policy support, and discrepancy alerts within existing workflows.
Reduce rework. Earlier identification of inconsistencies helps prevent avoidable follow-up work, appeals, reinstatements, and payment corrections.
Strengthen program integrity. Predictive analytics, risk profiling, and targeted review help agencies focus resources where they are needed most.
Generate actionable operational insight. Reporting and analytics provide visibility into trends, compliance, quality outcomes, and staff training needs.

Accuracy Assistant FAQs

Yes, Accuracy Assistant is delivered as a hosted SaaS solution and is designed to work alongside existing staff, workflows, and agency systems, all within your current program ecosystem. It provides decision support, policy guidance, and quality assurance capabilities within existing operations.

Accuracy Assistant uses a human-in-the-loop model that supports staff decision-making while keeping people responsible for final determinations.

The solution combines predictive analytics, document processing, natural language processing, policy rules, and risk profiling to detect discrepancies and prioritize cases for review.

State and local government

Explore how we help agencies across all 50 states and D.C. address challenges and move people forward.

Making an impact

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See how Accuracy Assistant can help your agency improve decision quality and operational performance.

NASPO

Accuracy Assistant is available through the NASPO ValuePoint Citizen Engagement contract.

Learn about our contract