Fully Integrated CMS Compliant Member Management System
End-to-end BPaaS Platform
Schedule a DemoMedAdvantage360
Member360
- Eligibility, Enrollment and Premium Billing
- CMS election period rules and realtime API validations via MARx
- Member Correspondence- MA, MAPD, PDP, MSA
- Workflow for pre and post enrollment
- Real time dashboards to manage business
- Automated Out of Area Functionality
- Automated Late Enrollment Penalty (LEP) attestation processing
We not only possess the finest Medicare Advantage solution, Our innovative approach has fundamentally transformed the deployment of enterprise Medicare-Medicaid-MediGap Plans in the marketplace.
Member360 is a fully automated and revolutionary BPaaS solution for Medicare Advantage, Medicaid, Special Needs and Medicare supplemental Plans.
With over 3 million Medicare lives, Wipro’s preconfigured solution can be quickly deployed to meet your speed to market needs. Built with the sole purpose of CMS compliance, Member360 streamlines member journey from Application to Explaination of Benefits (EOB).
CMS Member Experience and Flawless CMS Submission
Increase in Operational efficiency in Member Enrollment
Reduced Operational Costs
CMS Acceptance
Transaction Rate
Third largest Submitter to CMS
Member360 Business Benefits
One stop solution for all your membership needs
EASY ONBOARDING
Easy Member onboarding through eligibility check and enrollment. Realtime API eligibility validation with CMS
MEMBER GROWTH
Inbound data processing from various channels to increase member growth
RELIABLE DATA
Integration with CMS for current and up to date member data
MEMBER EXPERIENCE
Increased Member experience through effective interaction with the Customer support executives
STREAMLINE & AUTOMATE
Customizable workflow minimizing errors & increasing overall efficiency
INTEGRATED SYSTEM
Scale faster by avoiding Silos & Single point of failures
NO COST FOR CMS MANDATED CHANGES
Each customer will receive a impact analysis of the CMS changes and the implementation will be free of any costs to the plan
Managing and transforming a leading Health Insurance provider based in East Coast USA
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