Providing ECM/CS services can be an arduous task as it involves fulfilling numerous obligations such as obtaining authorizations, conducting eligibility checks, engaging in outreach activities, developing care plans, coordinating services, generating invoices/claims, sharing data, and many other responsibilities expected by MCPs. As a result, the majority of ECM/CS providers find themselves spending more than 50% of their time on administrative tasks to facilitate reporting and billing requirements.
Sprite Health offers a highly comprehensive digital platform that enables the efficient management of all ECM and CS requirements in a single place. Our solution is purposefully designed to cater to the specific needs of the CalAIM ECM/CS initiative – including whole-person care management for all PoFs and 14 community supports, revenue cycle automation, QHIO integration and more.
The best part? Most administrative tasks such as claims and reporting (MIF, RTF, OTF) are automated, ensuring you get paid on-time and stay compliant with MCPs requirements.
Even better. There is no cost to get started.

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  • Out-of-the-box RTF, OTF reporting for HealthNet, Anthem, CenCal, Partnership Health, Kern, HPSJ, CalOptima, IEHP and more
  • Automated claims and billing with over 10 MCPs.
  • Streamline ECM and CS authorizations
  • Comprehensive outreach, assessment and care management capabilities
  • Integration with QHIOs to meet DxF requirements
  • Earn QIP bonus by meeting MCPs quality metrics
  • Meet audit requirements with smart checklists