Provision is a revenue cycle management platform built specifically for Food is Medicine programs, handling Medicaid billing, eligibility verification, claims submission, and denial management. The platform supports service lines including medically tailored meals, groceries, produce prescriptions, and nutrition counseling, and works with any payer type. Provision also offers a working capital advance feature to help organizations bridge the gap between service delivery and payer reimbursement.
Funding
Funding not disclosed
Founders
Product
Problem
Food is Medicine programs are increasingly funded by Medicaid in over a dozen states, but the payment and administrative burden creates a significant barrier to scale. Eligibility shifts by plan, county, and month, and each plan has its own codes, formats, and documentation requirements. Plans pay 30 to 90 days out, with denials stretching to eight months, forcing organizations to absorb costs that were due on day one.
Solution
Provision handles the entire revenue cycle for Food is Medicine programs, from coverage verification to payment reconciliation. The platform verifies eligibility and benefits against each plan's rules before food is delivered, formats and submits claims and invoices according to each plan's specific requirements, and works every denial until it pays. Provision matches every payment back to the service that earned it and provides reporting that boards, funders, and health-plan partners can read. The platform is purpose-built for Food is Medicine service lines including meals, groceries, produce prescriptions, grocery cards, kitchen supplies, nutrition counseling, and education, rather than adapted from general medical billing software.
Target Audience
Primary customers are community-based organizations, multi-state medically tailored meal providers, medically tailored groceries and produce prescription providers, food benefit card programs, virtual nutrition care providers, and food banks and food hubs that need to bill Medicaid and other payers for Food is Medicine services.
Features
- Eligibility verification that checks both active enrollment and benefit coverage for the specific service under each plan, by MCO and location
- Claims and invoice submission in every format, including electronic claims where supported and invoices and portals where not
- Denial management with diagnosis, correction, and resubmission until resolution, with full visibility for clients
- Payment reconciliation that matches every dollar back to the service that earned it
- Working capital advance feature that funds claims already earned, delivering cash in days instead of months, offered with capital partners and subject to underwriting
- Configuration-based onboarding that absorbs new plans, states, and service lines without requiring clients to restaff or migrate systems
- Integration with existing workflows through spreadsheets, exports, or API connections, with no migration project required