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MedHOK's Enrollment Solution
Home / Solutions / Member Engagement MP Enrollment

MarketProminence (MP) Enrollment Solution

Solution Overview

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:

  • Intake electronic and paper applications and validate for required information
  • Submit eligibility information and receive responses from various regulatory/governmental authorities
  • Maintain ongoing eligibility updates and downstream required information to subcontractors and plan systems
  • Send compliant correspondence to members about enrollment and throughout the calendar year
  • Intake various enrollment and financial files form regulatory/governmental authorities to reconcile enrollment and payment information
  • Process all member maintenance functions including: address changes, premium withhold updates, plan benefit package changes, member disenrollments, and other required member maintenance functions
  • Process Daily Transaction Reply Reports (TRR), using a sophisticated business rule engine that provides automation and memorizes multiple code combinations

Have You Considered ...

 

With MP Enrollment, you may also want to manage related functionalities on one platform to ensure compliance, improve efficiency and productivity, and deliver better quality care. Consider adding these MedHOK solutions:

Download Product Spec Sheet

ENSURE ENROLLMENT COMPLIANCE

100% out-of-the-box compliant with Medicare and Medicaid

MAXIMIZE REVENUE

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

BEST-PRACTICES STRUCTURED WORKFLOWS

Use the premier MarketProminence solution for proven best practices across the entire enrollment process using automated structured workflows

Request a Demo

See MedHOK's MP Enrollment Solution for yourself

Please complete the form and let us know which capabilities you would like to see. One of our demo specialists will contact you to schedule your custom demo.

MP Enrollment Demo Request