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Beneficiary Enrollment Module

Medicare Beneficiary Enrollment module from GWI's CMS Gateway enables us to provide real-time enrollment after the MBEQ report for the different Medicare Advantage Health plans.

After providing real time online MBEQs reports for Medicare Advantage Health plans in contract with CMS, GWI CMS Gateway enables health plans online enrollment services integrated with the Eligibility and Entitlement module for faster and accurate enrollment of Medicare beneficiaries.

As a part of our CMS Gateway services, GWI's enrollment module allows Medicare Advantage Plans to enroll beneficiaries within minutes saving time in filling in 10s of documents. After eligibility and entitlement information from the MBD/MARx extract file report, our enrollment system prefills already reported information to save tons of time for faster beneficiary enrollment. As a value added service to the Medicare Advantage health plans, it would save a lot of time for both the beneficiaries and the plans.

Beneficiary Maintenance
• Easy member/family setup
• Member/family updates and maintenance
• Accumulators
• Print cards
• Multiple coverage

Code Maintenance
• Standard EDI and system specific code maintenance
• Deploy, update and search codes
• Configure professional and facility benefit categories
• Configure rules on various parameters
• Maintain and track history of codes