ENROLLMENT, AND EDUCATION.
Enrollment Intake and Management
Make getting members enrolled easy. Our enrollment specialists successfully manage enrollments/disenrollments/status changes/demographic information ahead of CMS specified timelines, offer electronic enrollment or paper processes, and handles the most common file types including First Information Report (FIR), Best Available Evidence (BAE), Medicare Secondary Payer Coordination of Benefits (MSPCOB). We will review for completeness and validity including initial verification of Medicare eligibility, Medicaid eligibility, medical condition eligibility, and outreach to agents for missing information and discrepancy resolution.
ID Card and Enrollment Material Production
Keep your members informed. When you leverage our Membership Management, we can also print, mail and track Enrollment and Eligibility letters, Welcome Packets including ID card, Annual packets including Annual Notice of Change, LIS Rider, Summary of Benefits, etc. All communications are CMS compliant and can be provided in braille, large print, or audio options. Customized design including new marketing materials, provider education materials is also available.