MedHOK’s MP Enrollment module comes out-of-the-box fully compliant with CMS Medicare and state Medicaid rules and can be easily configured to meet business requirements and workflows. This solution offers add-on modules for Financial Reconciliation and Premium Billing, providing the most rigorous system in the industry to ensure compliance and timely processing for enrollment, reconciliation, and billing procedures. The solution also allows health plans to reconcile enrollment and payment at the member level to remediate differences and ensure maximization of revenue as well as track expected revenue moving forward at multiple plan levels.
Customers use this solution to:
Use the premier MarketProminence solution for proven best practices across the entire enrollment process using automated structured workflows