# RES Systems

> RES Systems combines Medicaid eligibility software with consulting, case follow-up, and billing recovery for New York City healthcare organizations. Its MEDS product submits applications through NYC EDITS, while batch eligibility inquiries help providers and health plans monitor ongoing coverage.

- **Founded:** 2000
- **Headquarters:** Long Beach, United States
- **Founders:** Lou Lista (Founder and President)
- **Products:** MEDS - Medicaid Eligibility Decision System, Batch Eligibility Inquiry System, Medicaid consulting and case management, Billing and receivables recovery
- **Notable:** RES says it was the first certified electronic EDITS submitter for the PCAP program and has submitted through MEDS since 2007., ADL independently announced a MEDS integration project in 2014., RES reports reducing an unnamed client’s pending Medicaid receivable from $6.2 million to $1.5 million in one year and recovering more than $1 million in previously written-off receivables. These are undated company claims.

## Products & services

- **MEDS - Medicaid Eligibility Decision System** — Electronic NYC Medicaid applications through EDITS, including forms, signatures, document scanning, validation, case tracking, reporting, and support. Electronic submissions since 2007 according to RES.
- **Batch Eligibility Inquiry System** — Bulk eMedNY/ePACES eligibility checks for provider censuses and plan membership; standalone or MEDS add-on. Documented in 2016 product sheets; launch date unknown.
- **Medicaid consulting and case management** — Eligibility problem resolution, submission monitoring, documentation assistance, operational analysis, and outsourced revenue cycle work.
- **Billing and receivables recovery** — Claims correction, re-billing, appeals, billing training, outsourcing, and contingency-based recovery.

## Achievements

- RES says it was the first certified electronic EDITS submitter for the PCAP program and has submitted through MEDS since 2007.
- ADL independently announced a MEDS integration project in 2014.
- RES reports reducing an unnamed client’s pending Medicaid receivable from $6.2 million to $1.5 million in one year and recovering more than $1 million in previously written-off receivables. These are undated company claims.
- RES also reports a nearly $2 million Medicaid receivable reduction in three months and recovery of more than $1.2 million in unpaid ALPS claims for unnamed clients.

## Latest updates

- **—** — The MLTC MEDS datasheet bearing a 2025 copyright describes automatic case creation and assignment, daily roster imports, and exception reports comparing roster, state, and MEDS data.
- **—** — The hospital MEDS datasheet bearing a 2024 copyright lists HL7/XML interfaces, electronic signatures, routing guidance for EDITS versus NY State of Health, and eligibility-history checks.

## Links

- Website: https://res.systems/
- LinkedIn: https://www.linkedin.com/company/res

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Profile page: https://yespress.io/res
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Last updated: 2026-10-24