Streamlining Medicare Enrollment and Membership/Payment Reconciliation Processes
CMS Gateway is an innovative Web-based solution that automates the complexity of CMS data exchanges, delivering greater accuracy and speed. The result is dramatically reduced administrative costs, increased compliance conformance and higher levels of member satisfaction through more streamlined process management.
Through a contract with the Centers for Medicare & Medicaid Services (CMS), GWI hosts a copy of the Medicare Beneficiary Database (MBD) extract file from MARx. Streamlined access to this information allows CMS Gateway to perform Instant Eligibility Queries, speeding the path to critical answers and eliminating the need for batch processing. In addition, information is fully integrated with and auto-populates enrollment screens, dramatically increasing efficiency.
A hosted solution, CMS Gateway can be rapidly deployed to help plans:
Easily accommodate rapid Medicare membership growth without building large infrastructures
Minimize the need to commit highly skilled personnel to comply with CMS data submission requirements
Enhance cash flow and capture lost revenue through more accurate and timely enrollment processing and reconciliation
Maintain full control of every process and make more informed business decisions — even through crunch enrollment periods
Stay ahead of enrollment trends affecting administrative, financial and sales arenas through comprehensive data warehousing and reporting
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