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MedHOK's Financial Reconciliation Solution
Home / Solutions / Member Engagement MP Financial Reconciliation

MarketProminence (MP) Financial Reconciliation Solution

Solution Overview

MedHOK’s MP Financial Reconciliation module comes out-of-the-box, fully compliant with CMS Medicare and state Medicaid rules and can be easily configured to meet plan-specific business requirements. This solution is offered as an add-on module for MP Enrollment, providing the most rigorous system in the industry to ensure compliance and timely processing for enrollment reconciliation and billing procedures. The solution allows plans to reconcile enrollment and payment at the member level to remediate differences and ensure maximization of revenue as well as track expected revenue  at multiple plan levels.

Customers use this solution to:

  • Intake financial files from regulatory/governmental authorities to reconcile enrollment and payment information
  • Generate an organization expected payment using MarketProminence’s proprietary payment calculation methodology
  • Track monthly payment from CMS and manage income
  • Identify dollar variances and update member information to resolve open issues
  • Ensure compliance with CMS mandatory attestation reporting and signature

Have You Considered ...

 

With MP Financial Reconciliation, 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

100% ENROLLMENT COMPLIANCE

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

 MAXIMIZE REVENUE

Reconcile enrollment revenue 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 Financial Reconciliation 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 Financial Recon Demo Request