Smarter, Faster Medicare Advantage Member Acquisition & Enrollment Technology

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

Talk To Us
HERO-MAP-IMAGE

U.S. Owned & Operated Since 2006

US-MAP-IMAGE

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.

About Us

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™
LIFE-CYCLE-CONNECTION-IMAGE

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.)
QUOTES-IMAGEquotes-start-image

Change is inevitable. Leverage out-of-the-box best practices along with uncommon flexibility for unique business rules, TPA arrangements, and an evolving regulatory environment.

Change is inevitable. Leverage out-of-the-box best practices along with uncommon flexibility for unique business rules, TPA arrangements, and an evolving regulatory environment.

QUOTES-END-IMAGEquotes-end-image

Cavulus Benefits

MEDICARE-IMAGE
Exclusive focus on Medicare Advantage.
BUILT IN CMS WORKFLOWS.
Built-In CMS Compliant Workflows.
SUPPORT IMAGE
Cavulus support included 24x7x365.
VERTICAL INTEGRATION-IMAGE
Vertically integrated, completely U.S.-based employee model.
NO SEAT-LICENSING
No seat-licensing or per-user costs.
LEVERAGE DEEP PAY
Leverage deep payor expertise and national insights.