The high quality of the accretion files improves efficiency, reduces rework, creates audit trails and increases cash flow. Data warehousing enables storage of all outbound files and inbound files (TRR, MMR). The data received in response to our query contains over 60 columns with various pieces of information which is used to auto populate applications for enrollment.

The application facilitates an extensive list of management and production reports, making reconciliations and detection of discrepancies a breeze. Researching transactions at the member, the PBP or plan level, generating daily, weekly, and monthly reports and data files, and creating last minute financial and management reports are made easy with the robust reporting capability. The system also creates submissions in the required format for IntegriGuard.

CMS required member correspondence triggers are built-in and interfaces are provided, making fulfillment and correspondence tracking effortless which results in adherence to CMS regulations, increased member satisfaction and reduced customer service calls.