Member Enrollment and Eligibility


Expand your Horizons and Enrollment Numbers


Find out why 80% of the market trusts Infocrossing
We make enrollment easy and compliant. Pure and simple. Not only can you improve your current level of compliance and decrease expensive labor costs, our clients find that they are able to expand their enrollment numbers comfortably, taking on new groups without concern over what could happen if they overloaded their current systems.

Through years of experience with hundreds of clients, we have developed the most comprehensive package of automation in the market to streamline your eligibility verification, enrollment processing and membership reconciliation.

Enrollment
Improve the time of application processing and decrease human data error with automated, accurate processing. You get instantaneous feedback on the enrollment, creating the ability to correct data quickly and easily.

Eligibility Verification
Our process works with your process. Infocrossing has direct access to the Medical Medicare Beneficiary Data (MBD) extract files from CMS. Along with MBD, we get the Transaction Reply Report (TRR) files from CMS and house them in our state-of-the-art systems.

Membership Reconciliation
Our reconciliation process includes an automated workflow process flow that matches your data against CMS files. Exceptions are identified and presented in manageable files. Your team spends their time performing accounting functions, not performing data clean up. We keep your data current and your workflow process flow streamlined.

Our systems are the most flexible and customizable in the industry. We fit your model, not the other way around, and offer all of our solutions as part of package or as standalone modules.

An ounce of prevention….
With Infocrossing, you get the tools and process to execute a successful enrollment every timeachieve a much higher rate of enrollment acceptance from CMS. We have the ability to obtain CMS data directly and can validate your enrollment information against the MBD for every individual; errors are flagged before they get to CMS.

Our process eliminates costly backtracking by staff to correct enrollment errors and the expensive compliance fineskeeps the Plans compliant with CMS enrollment rules. Even the Transaction Reply Reports (TRR) that are received by CMS are automatically evaluated by systems; no more manually wading through reports to make corrections.

Features
There are many reasons why working with Infocrossing makes sense:

• Experience
We bring best practices to every project through our 23 years of experience, 160 218 Medicare Plans we help administerprocess enrollment transactions and 550 plans we handle eligibility for.
• Flexibility
You stay in control of the data and the process; we automate, enhance and work with you current systems.
• 98% average acceptance
We’ll help you get your enrollment data accepted by CMS the first time. Processing time decreases and accuracy increases—a winning combination.


Want to improve your cash flow?
With clean data going to CMS every time, your members get enrolled and you get paid for your new enrollments members in a timely manner, improving cash flow and reducing accounting headaches. Grow your Medicare enrollment confidently, without adding additional staff. Decease compliance issues and potentially costly compliance fines from CMS.

Any way you add it up, Infocrossing can help improve your bottom line.

The Infocrossing Difference
Infocrossing is a premier provider of selective IT and business process outsourcing solutions. Over 80 percent of Medicare Advantage plans take advantage of our solutions to address their membership management, eligibility/enrollment, payment reconciliation and clinical risk adjustment business and regulatory requirements. With the backing of our parent company, Wipro Ltd., a $5.5 billion technology services company, we offer proven technical delivery capabilities and long-term financial stability unmatched in the industry. 

Call Infocrossing Now
For more information, please contact Infocrossing at 866.779.4369.

80% of the Plans Trust Infocrossing