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AI NAVI™ Health Wallet and AI Advocate | RK360®

For safety-net providers, Medicaid managed care plans & state leaders

Solve Medicaid workforce verification now. Power cross-network interoperability later.

AI NAVI™ gives each Medicaid member a Health Wallet and a personal AI NAVI Agent. The Wallet keeps the member's records, coverage, providers, and requirements in one place. With the member's permission, it connects to your EHR, your health plan, and your state's Medicaid systems. Nothing is replaced.

From January 2027, members must prove 80 hours a month of work, school, or community engagement. With AI NAVI, a member reports hours by voice or text. An employer or school confirms them by secure link. The state receives a verified report, and the member keeps proof of coverage in a QR code.

Live today: iOS and Android Wallet Apps · Consoles and Platform on Google Cloud · Three issued U.S. utility patents · Configured for your state's rules, not coded from scratch

Sign up for the Medicaid pilot waiting list

What’s in the Medicaid AI NAVI™ Wallet?

One Wallet. One Cloud Record. Many-to-One Interoperability

The Medicaid AI NAVI Wallet Four member steps: 1, the member reports work hours by voice, text, or photo; 2, an employer, school, or volunteer program confirms by secure link; 3, the state or plan receives verified data by FHIR, API, or secure link and the Wallet QR code updates; 4, coverage is kept and the member shows the QR code to prove compliance and get covered care. In the center, the AI NAVI Wallet sits inside a member-authorized cross-network interoperability layer that connects EHRs (Epic, Netsmart, others), verifiers and community sources, health plans and managed care organizations, and state Medicaid systems to one member-owned cloud record. It works with existing EHRs and health plan and state systems with no replacement, is white-label ready, and configures new states and rules as settings, not custom code. Benefits: protect coverage, reduce administrative burden, fewer denials, find covered care. 1 Member reports Voice, text, or photo captureswork hours or other requiredinformation. 2 Verifier confirms AI NAVI sends a secure link to theemployer, school, or program.No new account or software. 3 State/plan receives Verified data arrives by FHIR, API,or secure link. The member’sWallet QR code updates. 4 Coverage kept The member shows the QR codeto prove compliance and getcovered care. MEMBER-AUTHORIZED CROSS-NETWORK INTEROPERABILITY LAYER EHRs Epic · Netsmart · others Verifiers Employers · schools · programs Health plans and MCOs Claims · eligibility · benefits State Medicaid systems Endpoint or AI NAVI Console AI NAVI™ WALLET Secure Private Verified Data stored only in the cloud Member-owned One member-owned Cloud Record Works with existing EHRs and health plan and state systems, no replacement. White-label ready. Any state, any record system: API, secure link, or member entry New states and new rules land as settings, not custom code Protect coverageReduce admin burdenFewer denialsFind covered care Members control who sees their record. Verifiers use a secure link with no account to create. States and plans receive only authorized data.
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Why January 2027 matters

The unwinding showed how paperwork alone ends coverage

During the 2023 to 2024 Medicaid unwinding, most people who lost coverage lost it over paperwork, not eligibility. From January 2027, adults in 41 expansion jurisdictions must also prove 80 hours a month of work, school, or community engagement, and states must verify it. Without an easier way to report and verify, 2027 repeats the unwinding on a larger scale.

25M+
people lost Medicaid during the unwinding.
69%
of them lost it over paperwork, not eligibility.
41
jurisdictions (40 states plus DC) must verify work requirements from January 2027.
$326B
estimated federal Medicaid cut over ten years, tied to work requirements.

Sources: KFF Medicaid Enrollment and Unwinding Tracker, renewal outcomes through September 2024; CBO and KFF analyses of P.L. 119-21, 2025; CMS community engagement resources. Requirements, exemptions, and state workflows remain subject to federal and state guidance.

What lost coverage costs your organization

1 in 4
community health center patients lost Medicaid during the unwinding. Three in four stayed uninsured.
1 in 2
of those patients missed appointments or stopped treatment. Visits went unpaid.
15%
of claims to private payers are denied at first. Hospitals spend $19.7 billion a year fighting denials, and win more than half.

Sources: National Association of Community Health Centers and George Washington University survey, 2024; Premier hospital survey, 2024; KFF review of Medicaid managed care plans during unwinding, 2024 (procedural disenrollment of 70% or more, coverage gaps of several months).

The harm reaches your reputation too. A member who loses coverage over paperwork remembers the clinic and the plan that could not help. The law funds no help for members. AI NAVI™ turns reporting into a short conversation in the member's language and gives the state a verified record it can audit.
Sign up for the Medicaid pilot waiting list

Early adopter pilot opportunity

Every expansion state can pilot its own configuration now

Every state writes its own rules for evidence, exemptions, notices, and languages. AI NAVI™ treats those rules as settings, not code. A safety-net provider, a Medicaid managed care plan, or a state agency can start a pilot with its own members while federal guidance keeps changing.

  • Your state's rules, evidence sources, and languages are configured in the first two months.
  • Day one runs on a browser and QR scans. EHR and state connections come later, only where they help.
  • You see member activation, verified reports, coverage kept, and staff time saved.
Sign up for the Medicaid pilot waiting list
With AI NAVI: the AI NAVI Wallet on a phone connects states (protect coverage, verify requirements), providers (faster intake, fewer denials), health plans and managed care organizations (reduce admin burden, improve continuity), and patients and family caregivers (covered care access, coordinated care) through an aggregated, lifelong cloud record. Bottom strip: cross-network navigation, stakeholder alignment, encrypted, unchangeable data.
Just in time! AI NAVI™ simplifies healthcare complexity. It works with EHRs (e.g., Epic), health plan claim, and state benefit systems.

Schedule a Medicaid pilot conversation

See if you qualify for a Medicaid pilot

Early adopter pilot places are limited, and they go first to organizations ready to act. Tell us what you need now for Medicaid eligibility and later for cross-network interoperability. If you qualify, we schedule a conversation to scope your pilot.

What early adopters lock in

  • Pricing starting at $1 per patient per year, price-locked for five years after the pilot
  • Configuration of Medicaid workforce verification through members' AI NAVI™ Wallets to suit your rules
  • A first say in your verification workflow now, and in cross-network interoperability after the pilot

Organizations that wait join after the early adopter cohort, on the terms in place then.

Pilot pricing applies to qualified pilot partners under a signed pilot agreement and a HIPAA business associate agreement. Terms and conditions apply.

Tell us about your organization

All fields are required. We review every submission and contact qualified organizations to schedule a conversation.

Pilot-stage priorities: Medicaid eligibility requirements *

Post-pilot priorities: cross-network interoperability *

We use this information only to respond about an AI NAVI Medicaid pilot.