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MarketProminence Enrollment & Member Maintenance Solution

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.

Featured Resources

Featured Blog

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