Effectively manage premiums to ensure efficiency, accuracy, and member satisfaction
The MarketProminence Premium Billing solution enables health plans to perform accurate and timely premium billing processing. This solution also serves as an effective audit tool to produce required reporting and ensure compliance. Customers use this solution to:
- Support various modes of billing and payment remittance
- Generate member-level monthly premiums and group billing
- Report on member, group, product and plan-level premium balances
- Achieve accurate calculation of net premium due from members
- Process CMS-provided payment files and allocate to member premium balances
When combined with the MarketProminence Enrollment and Financial Reconciliation solutions, clients centralize member data and gain complete control to ensure process efficiency, accuracy, and optimal member satisfaction.