RISE Medicare Marketing & Sales Summit 2024
Smarter, Faster Medicare Advantage Member Acquisition & Enrollment Technology
Powered by automation, seamless CMS communication, and an unrivaled member experience.
Talk To UsU.S. Owned & Operated Since 2006
Established alongside Medicare Advantage (MA), we’ve harnessed big data, predictive analytics, and our proprietary algorithms to fuel compliant membership growth for start-ups, regional, provider-owned, university-affiliated, national insurers and TPAs.
Our deep expertise and exclusive focus on MA allow us to outpace global competitors and serve as a dedicated partner in achieving our client’s strategic vision.
Frictionless Member Lifecycle
First impressions matter. A seamless enrollment process is fundamental to member satisfaction, financial stability, regulatory compliance, and competitive advantage.
Automated.
Intelligent.
Compliant.
Secure.
Manage all communications with CMS through the most advanced features and frequent enhancements that integrate new regulatory requirements.
- Application intake from any source
- Automated, real-time completeness checks
- Real-time eligibility determination
- Enrollment to CMS confirmation within 24 hours
- Cavulus or plan acting as CMS submitter
- MBIT creation for CMS submission
- Complete TRR processing with automation > 90%
- MA/MAPD/PDP/Group/SNP workflows
- Intelligent, rules-based enrollment
- Exceptions sorted into logical queues
- Automated CMS letter generation
- Streamlined UI with easy access to data
- CMS timelines enforcement
- Monthly reconciliation CMS data vs. EMMA
- Model and non-model member correspondence
- Automated complex calculations (eligibility, LEP, etc.)