Reconcile expected versus actual government payments to maximize revenue
The MarketProminence Financial Reconciliation solution allows plans to reconcile enrollment and payment at the member level. This helps to remediate differences and maximize revenue, as well as track expected revenue moving forward at multiple plan levels. The solution ensures enrollment and eligibility data accuracy. Customers use the MarketProminence Financial Reconciliation solution to:
- Generate an organization expected payment using MarketProminence’s proprietary payment calculation methodology
- Track monthly payment from CMS and manage income
- Identify dollar variances and update member information to resolve open issues
- Ensure compliance with CMS mandatory attestation reporting and signature
When combined with the MarketProminence Enrollment and Premium Billing solutions, clients centralize member data and gain complete control to ensure process efficiency, accuracy, and optimal revenue.