MEDICAID & MEDICARE COMPLIANCE

Compliance monitoring and provider data verification, built for public sector healthcare

HealthDetail’s MemberONE and ProviderONE help Medicaid managed care organizations, Medicare Advantage plans, and state agencies keep marketing, enrollment, and provider directory data audit-ready — on the Salesforce platform.

Since 2005
20+
Years in healthcare compliance
15 yrs
Salesforce ISV & OEM partner
4
Live listings on AgentExchange
The problem

CMS has reported that more than 80% of sampled 2021 Medicare marketing calls had compliance deficiencies, and OIG’s February 2026 Medicare Advantage compliance guidance — its first major update since 1999 — raises the bar further

Provider directory accuracy rules are just as unsettled, varying between federal and state requirements. Plans and agencies need continuous, documented monitoring — not a once-a-year check

Our solutions

Purpose-built for Medicaid and Medicare compliance — not adapted from a general-purpose tool

MemberONE

Call-center monitoring and real-time compliance scoring for Medicaid and Medicare marketing and enrollment.

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ProviderONE

Continuous, multi-channel provider directory verification with NPI validation and an audit trail.

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MemberOne AI

Real-time agent guidance and QA for public sector contact centers, built on the same compliance foundation.

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Salesforce services

Flow, Apex, and integration consulting for health plans and agencies already on Salesforce.

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Salesforce AgentExchange

Install our packages directly from AgentExchange

HealthDetail ONE Utilities and ProviderONE are live, vetted listings — install into your Salesforce org in minutes

Why HealthDetail

01

Public sector focus since 2005

Two decades dedicated to Medicaid and Medicare compliance — not a general tool adapted for healthcare.

02

Purpose-built, not adapted

MemberONE and ProviderONE are designed around CMS and state requirements from the ground up.

03

Proven long-term partnerships

An 11-year state Medicaid engagement shows we stay through changing regulatory cycles.

04

Technology plus human expertise

Salesforce-native platforms backed by people who read the regulations, not just the data.

“I am very satisfied with the work and highly recommend HealthDetail!”

Verified Client, Healthcare DME · Salesforce AgentExchange, January 2025

Ready to get started?

Schedule a call, or see what your program would cost

Schedule a demo

See MemberONE or ProviderONE on a 30-minute call.