Streamline member enrollment and ensure compliance
The MarketProminence Enrollment & Member Maintenance solution comes out-of-the-box compliant with CMS Medicare rules and regulations and can be configured to meet state-specific Medicaid rules and business requirements. Customers use the MarketProminence Enrollment & Member Maintenance solution to:
- Intake electronic and paper applications and validate for required information
- Send compliant correspondence to members about enrollment and throughout the calendar year
- Submit eligibility information and receive responses from various regulatory/governmental authorities
- Maintain ongoing eligibility updates and downstream required information to subcontractors and plan systems
- Process member maintenance functions such as address changes, premium withhold updates, benefit changes, and dis-enrollments
When combined with the MarketProminence Financial Reconciliation and Premium Billing solutions, clients gain complete control to ensure compliance and timely processing for all enrollment, reconciliation, and billing procedures.