Enrollment

MarketProminence’s enrollment functionality is designed to streamline the enrollment process into an MA, MAPD or PDP. Whether integrating with MarketProminence’s sales process or importing application data from another source, MarketProminence’s Enrollment functionality enforces CMS’s regulations regarding data capture and keeps Medicare Advantage/Medicare Advantage-Prescription Drug organizations and Prescription Drug Plan Sponsors in compliance using sophisticated tracking and audit capabilities.

• Capture all required CMS Election data 
• Track date spans of all critical CMS components 
• Process bi-directional Batch Eligibility Query (BEQ) 
• Assign and track provider assignments 
• Track creditable coverage
• Generate number of uncovered months calculation 
• Track Late Enrollment Penalty (LEP) calculation 
• Coordinate and track employer groups and affiliated members 
• Validate individual data fields and enrollment requirements 
• Process interim cancellations and disenrolls in submission process
• Manage multiple co pay categories
• Automate application verification process