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Enrollment Services

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Enrollment Services

Enrollment Services to Accelerate Your Plan

Enrollment expertise, full-service processing and a powerful technology platform enable automated and streamlined enrollment for your plan.

It’s no secret that being able to efficiently enroll new members into your plan is a key step in growing your health plan. Whether you’re seeking to enter the Medicare Advantage space, or simply looking to expand your foothold in the government-managed space, enrolling new members is vital to meeting those goals. Finding a way to deliver a seamless enrollment process to members is increasingly important to maximize growth and support member satisfaction. Balancing this focus on members, while driving back-office efficiencies, presents challenges for many plans, and failures in your enrollment process can lead to lost customers and missed opportunities.

We manage enrollment so you don’t have to.

Advantasure’s enrollment technology platform was built for government healthcare plans, providing a fast, scalable, compliant solution. This same technology powers our full-service solution. Paired with our industry experts, we put the full power of our system to use. Our experienced team and proven systems deliver complete, integrated enrollment processing for your plan, allowing you to simplify operations and lower administrative costs.

Service Capabilities

  • Automated, efficient process for member enrollment
  • Validate enrollment with CMS in near real-time
  • Reconciliation of enrollments using CMS monthly files
  • Maintain workflows, policies and procedures
  • Process via paper, electronic and online Enrollment Center (OEC) Format
  • Process of CMS-mandated member correspondence
  • Cancellations, disenrollment, premium withhold option changes, automated clearing house forms
  • Reporting capabilities
  • Audit oversight and Support
  • Regulatory tracking of CMS changes
  • Electronic Data Interchange to transfer
  • Value levers engaged
  • Reduce Admin expense
  • Ensure appropriate revenue

Proven Results

  • Achieved 99% new enrollment success rate
  • Reached 80% reduction in application processing time

We help plans across the country to optimize enrollment processes. Our team, with deep experience in regulatory, plan, technology, government agency and other fields, knows what it takes to drive success and deliver a full-service solution. We help plans that want to control administrative costs while receiving the benefit of updated technology, outsource operations and technology resources or jump start a new plan without the burden of expensive infrastructure and staffing.

Let’s talk about how Advantasure can help your plan reach its goals.

Find Out How We Fuel Accelerated Performance

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