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Medicare Beneficiary Eligibility and Entitlement Query (MBEQ)
 
Medicare Beneficiary Eligibility and Entitlement query (MBEQ) module from GWI's CMS GatewayTM enables us to manage and provide real-time query reports for the different Medicare Advantage Health plans.

GWI provides real time online BEQs for Medicare Advantage Health plans in contract with CMS.

As a part of GWI's CMS GatewayTM services, GWI provide's web enabled and real time reports for checking eligibility and entitlement information with more than the standard information in our output reports. This value added service to the Medicare Advantage carriers would benefit both the beneficiaries and the carriers.

The data received in response to our query contains over 60 columns with various pieces of information as to the regular 30 columns available in direct response from CMS. And this response data is used to automatically populate applications; this feature dramatically reduces the time required for the completion of achieving up to 20 applications per person per hour.

This combined with real time validation against the Medicare Managed Care Manual and Plan specific business rules results in error free applications with increased speed, accuracy and throughput.

Error-free membership accretion files resulting in significantly reduced rejection rates and rework

 

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