Infocap at HIMSS 2026

Keep Eligible People Covered. Catch Fraud Early.

Meet with the Infocap team at HIMSS 2026 · Booth #4922 (in the Ingram Micro booth) 

The Toughest Trade Off in Healthcare Coverage

Tighten fraud controls and eligible people lose coverage.
Simplify enrollment and improper payments and abuse rise.
Add more documentation and everyone—beneficiaries, providers, and staff—drowns in red tape.

Infocap is here to end that trade‑off.

We bring human‑centric automation, intelligent document processing, and explainable eligibility verification to Medicaid, Medicare, and Marketplace programs, so you can protect people and payments at the same time.

What Infocap Does:
Streamlining Identity, Income, and Eligibility Verification at Scale

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Beneficiary centered program integrity

    • Detect fraudulent eligibility and identity documents upstream, before they become denials, recoupments, or headlines.
    • Strengthen ex parte and other low‑touch workflows so honest beneficiaries move quickly, while high‑risk cases get targeted review.
    • Keep every eligibility decision observable, explainable, accountable, and auditable—never a black box.
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Human centric automation, not automation for its own sake

    • Automation handles repetitive document checks and pattern detection.
    • Staff see a prioritized queue with clear reasons for each flag, not a sea of work items.
    • People stay in control; machines do the grunt work.
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Document integrity you can see and defend

    • Scan documents for tampering, reuse, and synthetic fabrication.
    • Record exactly why a case was cleared or flagged, creating a transparent trail that supports PERM, MEQC, and internal reviews.
    • Integrate directly into portals, upload flows, eligibility systems, and back‑office workflows via API or batch.

Proven at National Scale

  • Over a half billion pages of eligibility documentation processed for federal and state programs, including HealthCare.gov.
  • Thousands of fraud patterns cataloged and stopped—without increasing friction for honest members.
  • Millions of people helped to get and keep coverage by making integrity checks smarter, not heavier.

Our solutions are designed to support CMS and state program‑integrity expectations for accountability, oversight, and audit.

Who We Serve

Infocap works with organizations that sit at the front lines of access, equity, and integrity:

  • State Medicaid and CHIP agencies
  • CMS and federal program offices
  • Medicaid MCOs and Medicare Advantage plans
  • Safety‑net hospitals and health systems
  • FQHCs and community health centers
  • Health plans focused on member experience and equity

We help them get eligibility right at the front door so providers see fewer eligibility‑driven denials, less uncompensated care, and fewer painful conversations with patients who thought they were covered.

How We Help You Balance Access and Integrity

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Make eligibility checks observable and auditable

Every verification step—whether automated or manual—comes with evidence and rationale your teams can see, explain, and defend. No hidden scores, no mystery rules.

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Protect people, not just payments

We design controls to keep eligible people covered: fewer procedural terminations, better ex parte performance, and reduced paperwork churn for families and staff.

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Target fraud where it starts

Instead of chasing abuse after claims are paid, we focus on identity and documentation at enrollment and renewal—where fake, altered, or recycled documents first appear.

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Reduce staff burden

By letting automation clear the low‑risk majority and spotlight the riskiest 3–5% of cases, reviewers spend their time where their judgment matters most.

What You’ll See at HIMSS 2026

Visit Infocap at Booth #4922 (within the Ingram Micro booth) to see:

  • How we catch forged, altered, or recycled eligibility documents in real time.
  • How document‑level integrity strengthens ex parte renewals without slowing them down.
  • How human‑centric automation cuts manual review while keeping decisions fully auditable.
  • How upstream eligibility integrity reduces provider denials, bad debt, and recoupments.

We’ll walk through live scenarios for:

  • Ex parte renewal integrity
  • Broker and channel abuse detection
  • Safety‑net provider impact (fewer eligibility‑driven surprises at the front desk)
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Ideal Conversations to Have with Us in Las Vegas

If you’re working on any of the following, we should talk:

  • Raising ex parte renewal rates and satisfying oversight expectations
  • Reducing eligibility‑driven denials, uncompensated care, or recoupments
  • Building a more explainable, auditable program‑integrity stack
  • Addressing document fraud, synthetic identity, or broker abuse without punishing honest members

Ask any Infocap team member for a 20‑minute walk‑through tailored to your state, plan, or system—or schedule time in advance.

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Where to Start?

We don’t ask you to “rip and replace.” We complement your existing eligibility and fraud tools.

Typical starting points:

  • Eligibility documentation integrity
  • Ex parte renewals with integrity
  • Broker / assister oversight and monitoring

Talk with us about initiating a pilot structured with clear ROI metrics—improper payments avoided, staff time saved, documentation quality, coverage retention—so you can see impact before you scale.

Connect with Infocap

HIMSS 2026 · March 9–12 · Las Vegas
Booth #4922 (in the Ingram Micro booth)

Dan Keldsen · Chief Innovation Officer
Email: sales@infocap.ai · Web: infocap.ai

Add this page to your HIMSS plan, share it with your team, and stop by to see how eligibility, identity, and document integrity can become the most reliable part of your program‑integrity strategy.