Questions you asked us
How does your Medicare Advantage Enrollment system integrate with CMS? What information is exchanged?
Our Medicare Advantage Enrollment System fetches the most current Medicare Entitlement, Coverage gap, LIS periods information from CMS's MARx system through Batch Eligibility Query (BEQ). Our product communicates with CMS on all the enrollments, cancellations, payments, member updates, disenrollment, re-instatement related information through daily MARx and Transaction Reply Report (TRR) files. Other than these, our product can process special notification files from CMS like address notification file, to get additional information required for special CMS enrollment scenarios.For reconciliation of enrollment, LIS and LEP data, our product processes monthly files like loss of subsidy file, enrollments file etc for monthly reconciliation and reporting.
We have a lot of legacy systems. Can hCentive's solutions integrate with our current systems?
Our solution can integrate with legacy systems, if needed. We have past experience of integrating with our partner's legacy system via SOAP, REST, JMS and File based integration. We first analyze what possible integration APIs that a legacy system can support, discuss the approach with partner's technical team and then our implementation team writes specific adapters for integration.
Why should I consider replacing my existing sales/broker portals with hCentive’s products? What are the benefits of switching?
We have had client successes in the past where clients reported a 35% increase in their online product sales, after switching to our sales portal. A large part of this growth can be attributed to our solution’s friendly user-interface, ability to quickly quote coverage and premiums that meet customer needs and a broker portal that makes it easy for resellers to identify and present plans for any client requirement. Read our success story here.
How does your system conform to the changing federal rules and remains compliant with the PPACA?
Our product management team keeps track of all changes in the federal regulations and rules. Whenever there is a change in the federal guidelines, our product management team develops an implementation plan in conjunction with the engineering team.
How can hCentive's Private Exchange solution help you increase your market share?
With the upcoming public exchanges, health insurance market is expected to become commoditized. Our private health insurance exchange solution can help you differentiate your products from competitors by allowing you to offer value-added products such as vision, dental, life, disability etc and value-added services such as benefit administration, through a single portal.
How can hCentive's Group solution help you increase your market share?
With the upcoming public exchanges, health insurance market is expected to become commoditized. Our WebInsure Group solution can help you differentiate your products from competitors by allowing you to offer value-added products such as vision, dental, life, disability etc and value-added services such as benefit administration, through a single portal.
Is your product easily scalable?
Yes, our solution architecture is flexible and scalable to support high volumes of users. Our solution is hosted on the hCentive WebInsure Cloud platform that allows us to scale the application rapidly, based on fluctuating business needs.
Does your product support multiple payment modes (credit cards, online payments, etc.)?
Yes. Our product supports multiple payment modes such as credit cards, bank transfers, PayPal, checks, etc.
Do you utilize cloud-based environments for hosting your solutions?
Yes, hCentive has a cloud-based application hosting platform called WebInsure Cloud that is specifically designed to host healthcare IT applications. The platform is auto-scalable and has been designed using industry standard building blocks such as AWS and VMWare.
What database technologies are used in your solution?
We use the following database technologies for our solution:
- Oracle Database 11g Enterprise Edition
- MySQL 5.5 Enterprise Edition
What are the browsers supported by your application?
Our solution supports all leading browsers such as Internet Explorer, Firefox, Google Chrome, Safari and includes support for mobile versions of these browsers.
What products other than health insurance can be sold on your exchange?
hCentive's WebInsure platform allows health payers to sell a number of ancillary products like dental, vision, disability, life and many other wellness products.
How easy is it for a health plan to add new products, change pricing or benefits once your portal is operational?
The hCentive Admin portal makes it extremely easy for health plan administrators to add, remove and edit products, rates and benefits. Role based access allows health payers to restrict access to certain functions to certain roles.The portal also maintains an audit trail to enable tracking and managing different versions.
Still have questions? Ask our experts
Read whitepaperWebInsure Exchange Manager
Know more about exchange connectivity in Post ACA market
- Full ACA/HIPAA compliance
- Intuitive user-friendly interface
- Reduced implementation costs
- Shorter implementation cycle
- Product customization capability
- Seamless system integration
- Per Member Per Month (PMPM) cost model