| As
a part of our CMS Gateway
services, GWI is providing
additional value added services
to the Medicare Advantage
carriers, which would benefit
both the beneficiaries and
the carriers:
CMS
GATEWAY FEATURES:
• "Real-time
MBEQs" and beneficiary
lookups against MBD
• Web-based
real-time access to enrollment
information (MBD extract file
data)
• Web-based enrollment
portal with built in validation
• Web-based enrollment,
disenrollment, and status change options
• Weekly and
monthly membership reconciliation
reports. Entitlement, Eligibility
and Enrollment reports
• Comprehensive
claims administration and customer
service application
• Calculating
Billings and Commissions to enable
customization of individual health
plan's pricing contract with CMS
• Integrated
Medical Management suite for decision
support and collaborative disease
and quality improvement initiatives
• CRM Modules
- campaign management, sales force
automation, event management, lead
managemnet and fulfillment provide
users with a true self-service collaborative
web based campaign management to enrollment
services in the CRM Package to enhance
knowledge management in the administrative,
financial and sales areas.
|
