Smarter, Faster Medicare Advantage Member Acquisition & Enrollment Technology

Powered by automation, seamless CMS communication, and an unrivaled member experience.

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U.S.-Based. Expertly Delivered.

Partnering with a vertically integrated, U.S.-based technology firm provides full control over development, implementation, support, and security. Without reliance on 3rd parties - we accelerate innovation and quickly adapt to an evolving regulatory environment.

Generic technologies miss the nuances of the Medicare Advantage industry - ours are designed for them.

Our Story

Frictionless Member Lifecycle

First impressions matter. A seamless enrollment process is fundamental to member satisfaction, financial stability, regulatory compliance, and competitive advantage.

MedicareCRM®
ECM™
EMMA™
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Automated.
Intelligent.
Compliant.
Secure.

Manage all communications with CMS through the most advanced features and frequent enhancements that integrate new regulatory requirements.

Enrollment Processing
  • Application intake from any source
  • Automated, real-time completeness checks
  • Real-time eligibility determination
  • Enrollment to CMS confirmation within 24 hours
Accretion & Reconciliation
  • Cavulus or plan acting as CMS submitter
  • MBIT creation for CMS submission
  • Complete TRR processing with automation > 90%
  • MA/MAPD/PDP/Group/SNP workflows
Performance Optimization
  • Intelligent, rules-based enrollment
  • Exceptions sorted into logical queues
  • Automated CMS letter generation
  • Streamlined UI with easy access to data
CMS Compliance
  • CMS timelines enforcement
  • Monthly reconciliation CMS data vs. EMMA
  • Model and non-model member correspondence
  • Automated complex calculations (eligibility, LEP, etc.)
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A seamless enrollment process is fundamental to member satisfaction, financial stability, regulatory compliance, and competitive advantage.

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Cavulus Benefits

Exclusive focus on Medicare Advantage.
Built-In CMS Compliant Workflows.
Cavulus support included 24x7x365.
Vertically integrated, completely U.S.-based employee model.
No seat-licensing or per-user costs.
Leverage deep payor expertise and national insights.