Automated Eligibility QA
Pre-Determination Review. Full-Caseload Visibility. Configurable, AI-Assisted QA.

Auto.IES helps agencies find eligibility errors, procedural issues, documentation gaps, policy-application inconsistencies, and system errors — before they contribute to SNAP QC findings, Medicaid PERM exposure, and federal financial penalties.
A Fundamentally Different Approach to QA
Auto.IES is designed to QA the full eligibility caseload — pre-certification — for a proactive, scalable, defensible QA posture.
Findings Auto.IES Can Surface
Identify where errors come from — staff, process, or system.
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Eligibility Issues
Income, household, citizenship, address, resources, work hours, arrests, incarceration, TPL. Potential categorical, resource, or program-specific eligibility discrepancies are flagged before they become findings.
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Procedural Issues
Missed notices, incomplete steps, unresolved verification, mistimed actions
Procedural gaps that can trigger SNAP QC or Medicaid PERM findings without triggering an obvious eligibility error.
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Documentation Gaps
Missing, inconsistent, or insufficient documentation.
Documentation issues that disproportionately drive Medicaid PERM insufficient-evidence findings.
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Calculation Errors
Income, deductions, shelter, utility, benefit level.
Benefit-calculation discrepancies across income types, deductions, and household configurations.
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Policy Inconsistencies
Same rule, different outcomes across workers or offices.
Patterns where policy is applied differently across workers, units, offices, or programs.
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System Issues
Incorrect system-generated actions or calculations.
System-driven errors distinguishable from staff errors — the finding that retraining alone will never fix.
QA Workflow
Five steps, fully outside the determination workflow.
STEP 1
AI-driven case analysis
Cases evaluated against state-configured policy, rules, thresholds, and procedural logic.
STEP 2
Evidence-backed findings
Each finding includes policy basis, source evidence, confidence score, and resolution path.
STEP 3
Human QA review
Reviewers confirm, override, escalate, or resolve. Human authority at each material step.
STEP 4
Standardized resolution
Controlled resolution codes strengthen reporting, trend analysis, and corrective-action planning.
STEP 5
Error-rate reporting
Dashboards track error categories, office-level trends, training needs, and PERM/QC exposure.
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Corporate Headquarters
148 State Street 10th FloorBoston, Massachusetts 02109‑2589