Medicare Part D & C Platform | Medicare Member & compliance Portal : hCentive, Inc.

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Toll free: (800) 984-7952

Email: sales@hcentive.com

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.

Components

Sales Portal – Search, compare Medicare Advantage & supplemental plans

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

Compliance

Compliant with all CMS guidelines
ACA/HIPAA compliant solution
Regular compliance monitoring and assurance

Web Consumer Facilities

Check and compare health plan quotes
Easy search, comparison and enrollment for health plans & services
Renew maturing applications online
Download invoices and pay online via EFTs, credit cards, etc.
24/7 accessibility to customer support

Administrative capabilities

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

Frequently Asked Questions

Is your product easily scalable?
Does your product support multiple payment modes (i.e., credit cards, online payments, etc.)?
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Next steps

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WebInsure Exchange Manager

Are you an Insurer worried about integrating to state & federal exchanges? Are you worried about cost, technology infrastructure, strategy, complexity and deadlines?