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Capabilities to propel your business

WebInsure Medicare is our highly intuitive CMS-compliant solution that is designed to help insurers provide an exceptional Medicare Part D & Part C plan shopping experience to senior citizens. The clean & simple layout of the portal combined with ‘a-click-away’ access to all necessary information makes this an attractive option for facilitating insurance purchase for seniors. The solution is fully ACA/HIPAA compliant and is ready to be deployed on payers' systems.

WebInsure Medicare is a comprehensive solution to help insurers market their health products through a simple & intuitive web portal. The application offers an easy-navigation between web pages to allow for a streamlined and simple online enrollment experience.

Enrollment – Manage enrollments, i.e. data capture, BEQ processing and post-enrollment processes such as cancellations, dis-enrollments, etc.

Queue Management – Manage work queues, system and supervisor review queues

Member Services – Track correspondences with members

Compliance – Ensure compliance with CMS letter exhibits, SLAs and reform regulations

Reports & Dashboards – Track canned reports, dashboards for resource management and tracking SLA breaches, etc.
Beneficiary Maintenance – Manage LIS and LEP along with out-of-area tracking, TRR Updates and CMS files processing.
Work Management – Experience dynamic queue configurations with faster task assignment and monitoring.
Letter Management – Get support for model and non-model CMS letters and print integration.
Salient features
Other features
  • Compliant with all CMS guidelines
  • ACA/HIPAA compliant solution
  • Regular compliance monitoring and assurance
  • Robust backend support
  • Premium billing through integration with external systems
  • Manage plan enrollments, cancellations, renewals online
  • Track and manage work queues, compliance standards, member correspondences, etc.
  • Track market & consumer trends & generate custom reports
  • Dashboard: Track canned reports, resource management and tracking SLA breaches
  • SLA Monitoring: Multiple, automated system monitors to track CMS SLAs for application processing and beneficiary communication
  • GUI-based System Administration: Configurations includes:
    • Plan Management
    • User Management
    • Service Area Management
    • EGHP Management
    • SPAP Management
    • Broker Management
    • PCP Management
Relevant Resource
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hCentive’s WebInsure Medicare
The contemporary healthcare market is changing and keeping up with these changes is demanding.
Read Whitepaper
WebInsure Medicare
Automating Medicare Advantage
Proven Track Record
Colorado Health Benefite Exchange
Delta Dental of California
Advance Health
Northrop Grumman

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