Government Programs
Medicaid, CHIP, and government health program data exchange from a verified Service-Disabled Veteran-Owned Small Business (SDVOSB): reclamation, coordination of benefits, and eligibility without data residency exposure.
The Challenge
Government healthcare programs manage massive volumes of sensitive data and face unique challenges in ensuring data security, interoperability, and compliance across vast, disparate networks of providers, plans, and beneficiaries.
For state Medicaid and CHIP programs, CMS-0057-F (the CMS Interoperability and Prior Authorization Final Rule) obligations arrive January 1, 2027, and reclamation and coordination of benefits (COB) accuracy depend on coverage data quality rather than recovery aggressiveness.
Reclamation and SDVOSB Status
Reclamation Is a Data Problem
Recovery quality is coverage-identification quality. Miss coverage and recovery doesn't happen; assert coverage that wasn't primary and you generate disputes and abrasion. Only one of those failures shows up in the recovery number. PNT does not take a contingency cut of recovery, which removes the incentive toward aggressive assertion.
A Verified SDVOSB
PNT Data Corp. is a verified Service-Disabled Veteran-Owned Small Business serving government health programs. Contract vehicle participation is engagement-specific.
What Post-n-Track Does for Government Programs
Post-n-Track offers government entities a highly secure, zero-residency data sharing architecture facilitating the secure, compliant sharing of health information at scale, ensuring data integrity and protecting against systemic cyber threats.
Government programs gain data security and operational transparency, enabling them to efficiently manage public health initiatives and ensure the integrity of the healthcare supply chain.
Transactions and Workflows That Matter
A state program is a payer with a recovery obligation: it answers eligibility, adjudicates claims, meets the 2027 API mandate, and recovers what a liable third party owed. These are the pages where coverage data quality decides both compliance and the recovery number.
Medicaid Reclamation
Recover payments where a third party was liable. Accuracy depends on coverage identification and coordination-of-benefits data.
Coordination of Benefits
Determine which payer pays first when a member has more than one coverage, including the separate Medicare Secondary Payer rules.
Coverage Discovery
Identify active third-party coverage a program has no record of, the input every reclamation and COB decision rests on.
270/271 Eligibility & Benefits Verification
Coverage and benefit detail returned to providers in real time, before care is delivered.
FHIR API Integration
A managed FHIR R4 bridge that meets CMS-0057 obligations without replacing existing EDI infrastructure.
Security & Compliance
A zero-residency architecture removes the centralized PHI repository, and the certifications and audits behind the service.
Frequently Asked Questions
Is PNT Data a small business contractor?
PNT Data Corp. is a verified Service-Disabled Veteran-Owned Small Business (SDVOSB).
Do state Medicaid programs have CMS-0057-F obligations?
Yes. State Medicaid and CHIP fee-for-service programs and Medicaid and CHIP managed care plans are among the impacted payers, with API compliance dates beginning January 1, 2027.
- 20 years in operation
- 2,000+ healthcare organizations served
- 2026 MedTech Breakthrough Award Best Overall Healthcare Cybersecurity Solution
- Certified and accredited HITRUST · CAQH CORE · DirectTrust · SOC 2
- 100% U.S.-based Veteran-owned (SDVOSB)
Ready to talk through your use case?
Talk to a Post-n-Track specialist about your data challenges. A direct conversation, starting with what you need.