EPIC TAPESTRY MANAGED SERVICES

Stop Maintenance Mode. Start Optimizing.

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Stabilize Tapestry Support. Strengthen Operations. Reduce Cost.

In an environment where margins are tighter than ever, the urgent always wins and optimization loses. Epic Tapestry is a powerful but complex module that connects enrollment, benefits, claims, provider data, and member workflows. When it underperforms, operations feel it.

Our Epic tapestry managed services provide health plans and MCOs with the expertise they need to improve efficiency, reduce costs, and let internal teams focus on strategic priorities.

What We Offer

End-to-End Workflow Support

Comprehensive support across membership, benefits, claims, provider data, contracts, and EDI workflows

Structured Upgrade & Release Management

Stability before, during, and after every Epic upgrade

Embedded Quality Assurance

Regression testing, UAT support, and proactive workflow validation

Flexible Engagement Models

AMS, co-sourced, fractional, or project-based support

Epic Tapestry Workflow Optimization

Tapestry touches nearly every operational layer of a payer. Our managed services focus on measurable improvements across the workflows that impact members, providers, and internal teams.

Membership & Enrollment Optimization

Getting members enrolled quickly shouldn’t be a headache. We streamline workflows, check that data is accurate, and make sure eligibility logic matches plan design. That means fewer manual steps for your team, faster updates, and a smoother experience for members.

Claims Accuracy & Clean Claim Rate Improvement

Claims issues often start upstream. We identify configuration gaps causing rework. By tightening benefit logic and claims workflows, we improve first-pass auto adjudication rates and reduce reprocessing.

Provider Data Management

Accurate provider data protects your brand and reduces call center volume. We optimize network configuration, directory accuracy, provider matching logic, and maintenance workflows to minimize errors.

Real-Time Eligibility & EDI Workflows

We strengthen real-time 270/271 eligibility transactions, claims submissions, and status responses. Improved connectivity reduces manual verification workload and improves provider satisfaction.

What’s Included in Our Epic Tapestry Managed Services

Each service is designed to stabilize performance, improve accuracy, and reduce operational friction.

Upgrades & Release Management

Epic upgrades introduce new functionality — but also risk. We manage the full release lifecycle to ensure your environment remains stable and optimized before, during, and after deployment.

  • Full release review
  • Regression testing
  • Break/fix support for changes affecting benefits, claims, eligibility, or provider data
  • Coordination with internal and external teams
  • Post-upgrade monitoring
Value Delivered: Reduced upgrade disruption and faster post-go-live stabilization, allowing staff to focus on strategic initiatives rather than firefighting.

Workflow Optimization & Configuration Updates

Even well-built Tapestry environments accumulate inefficiencies over time. We continuously refine configuration and workflows to eliminate unnecessary manual work and prevent downstream errors.

  • Benefits configuration
  • Membership & enrollment workflows
  • Provider data & directory accuracy
  • Claims queue cleanup
  • EDI configurations (276/277, 270/271, 837, etc.)
  • Business rule updates
Value Delivered: Cleaner data, streamlined workflows, and fewer manual interventions, helping your team operate more efficiently and reduce administrative burden.

Ticket Triage & Issue Resolution

Operational issues require speed and clarity. Our structured triage model ensures the right problems are prioritized and resolved efficiently.

  • Day-to-day break/fix
  • Priority handling for member-impacting issues
  • Configuration corrections
  • Root-cause analysis
Value Delivered: Faster issue resolution, reduced backlog, and long-term fixes that address the source — not just the symptom — of recurring problems.

Change Requests & Small Enhancements

Payers are constantly evolving. Regulatory shifts, product updates, and operational improvements require ongoing configuration changes.

  • Workflow redesigns
  • Form and letter updates
  • Data fixes
  • Audit and cleanup tasks
  • Cross-module changes
Value Delivered: Continuous improvement without overloading your internal team, allowing you to modernize workflows and maintain compliance at a sustainable pace.

Membership, Benefits & Claims Support

Complex payer workflows require precision. We support the detailed configuration work that keeps enrollment, benefits, and claims aligned with plan design and contractual obligations.

  • Complex benefit builds
  • Benefit updates for annual plan changes
  • Claims configuration
  • Pricing logic & contract updates
  • Eligibility and enrollment validation
  • Provider matching & directory updates
Value Delivered: Stronger benefit accuracy, improved claims outcomes, and a smoother experience for members and providers — reducing confusion, disputes, and preventable errors.
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Why Organizations Choose Canopii for Tapestry Managed Services

Health plans and MCOs choose Canopii Collaborative because we combine deep Tapestry expertise with operational discipline and flexible delivery models. Our analysts are among the most experienced in the industry, delivering work that meets the highest quality standards.

Deep Expertise Across All Tapestry Workflows

Our analysts understand Tapestry end-to-end, not just isolated modules. We support:

  • Membership and enrollment
  • Eligibility and benefits configuration
  • Claims
  • Provider data management
  • Contracts and pricing logic
  • Real-time eligibility
  • EDI payer workflows

Because Tapestry connects to financial and front-end systems, we also coordinate across platforms like Resolute, Cadence, Prelude, and CRM tools. Every configuration change is evaluated for downstream impact.

Tapestry does not operate in isolation. We make sure that updates are aligned across systems to maintain stability, accuracy, and operational efficiency.

Proven Operational Playbooks

Strong support requires more than good analysts. It requires structure. We follow repeatable frameworks for:

  • Upgrades
  • Release management
  • Regression testing
  • Workflow stabilization
  • Issue resolution
  • Change requests
  • Governance documentation

Every engagement includes clearly defined processes for intake, prioritization, escalation, and communication.

This structured approach reduces variability, shortens resolution times, and improves visibility for internal stakeholders. Instead of reactive support, you get disciplined execution.

Scalable Support Options

No two organizations require the same level of support. Whether you need a single fractional Tapestry analyst or a full application management services (AMS) team, we scale to meet your operational footprint. As your membership grows, benefit designs expand, or regulatory requirements shift, your support model can grow with you.

Predictable & Sustainable Costs

Financial clarity matters. Our engagement models are designed to eliminate uncertainty.

  • Monthly support structures
  • Dedicated or shared analyst teams
  • Hybrid steady-state + project models
  • Flexible master service agreements

No surprise invoices. No unclear scope. Just a transparent, sustainable model aligned with your budget.

Embedded Quality Assurance

Quality assurance is not an afterthought in our Epic tapestry managed services model. It is built into every engagement. We provide structured testing support, regression testing protocols, data validation checks, and proactive workflow reviews.

Before changes move to production, they are validated against real-world scenarios and business rules. This approach reduces post-release defects, strengthens data integrity, and protects member and provider experience. Quality is not optional. It is embedded in how we operate.

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FAQs About Our Tapestry Services

Why outsource Tapestry support?
Because running a lean MCO team is exhausting. Most teams spend 80% of their time on 20% of the tickets. Outsourcing to a specialized partner like Canopii shifts that burden, allowing you to optimize workflows without increasing your permanent headcount.
What does your Tapestry Managed Services model include?
Everything an internal application team does: tickets, upgrades, configuration, testing, analysis, benefits, claims, provider data, and workflow optimization. We operate as a seamless extension of your organization.
Do you provide Tapestry staffing along with AMS?
Yes. Whether you need a full managed services team with defined SLAs or a fractional analyst for a specific project, we scale to match your operational footprint. Our goal is to provide the exact level of support needed to maintain stability as your membership grows.
How quickly can we start?
Most clients are fully transitioned and operational within 8-12 weeks. Our onboarding process is designed to be low-impact for your internal team. We focus on rapid knowledge transfer and workflow documentation so we can begin delivering value without disrupting your daily operations.
Do you support complex benefit builds and claims logic?
Yes. Our analysts specialize in high-complexity payer workflows including commercial, Medicare, Medicaid, and large employer group lines of business. We are experienced in advanced pricing logic, contract configuration, and benefit alignment.
Do you work with MCOs, TPAs, and provider-sponsored plans?
Yes. Our clients span all payer types, including managed care organizations, third-party administrators, integrated delivery networks, and provider-sponsored health plans operating under value-based models.