HealthEligible
HealthEligible is deterministic AI decision support for eligibility technicians. It navigates complex policy, provides ongoing training, and helps workers make timely, auditable determinations across 120+ programs.
Two Ways to Use It
A standalone decision support tool for eligibility technicians. Screen applicants across 120+ federal, state, and local programs with deterministic logic that produces auditable, defensible results. Includes built-in policy updates and ongoing training modules so workers stay current without external retraining.
Add automated multi-program eligibility screening to your existing HealthBase workflows. When a navigator or case manager identifies a social need, HealthEligible instantly determines which programs the client qualifies for — turning a single screening into a comprehensive benefits roadmap.
Why HealthEligible
HealthEligible uses rule-based logic — not large language models. Every determination follows the actual policy rules and produces the same result every time. No hallucinations, no unexplainable outputs.
Every eligibility decision includes a clear reasoning chain: which rules were applied, what data was evaluated, and why the determination was reached. Built for the scrutiny that government agencies require.
Policy changes constantly. HealthEligible provides ongoing training and support to eligibility workers — keeping them current on rule changes without pulling them out of production for retraining sessions.
HealthEligible is deterministic AI decision support for eligibility technicians. It helps workers navigate complex policy, provides ongoing training, and enables timely, auditable determinations across 120+ federal, state, and local programs.
HealthEligible uses rule-based, deterministic logic — not large language models. Every determination follows actual policy rules and produces the same result every time. There are no hallucinations or unexplainable outputs. Every decision includes a clear reasoning chain showing which rules were applied and why.
HealthEligible is planned for release in May 2026. Organizations interested in early access or a pilot program can contact ITO Health to learn more.
Yes. HealthEligible is available both as a standalone decision support tool for eligibility agencies and as a HealthBase add-on module. When integrated with HealthBase, it instantly determines which programs a client qualifies for during the screening process.
Every eligibility decision includes a complete reasoning chain: which rules were applied, what data was evaluated, and why the determination was reached. This is built for the scrutiny that government agencies require — full transparency into every decision.
We’re preparing HealthEligible for release in May 2026. If your agency is interested in early access or a pilot, let’s talk.
