Overhead Reductions


Helping you manage and grow your Medicare business thru:


Maintaining information on working-aged and institutional beneficiaries can be a drain on resources.

Many plans lose between 10% to 12% of their monthly capitation payments because enrollment records contain invalid information.

To help minimize this burden, Member360o offers the Automatic Institutional Accretions System and the Working-Aged Compliance System. Both systems allow you to manage previously submitted Medicare status change transactions without having to recreate them each month.

Our system verifies the transaction information with the master eligibility database before transactions are submitted to CMS. If a discrepancy is discovered, the system displays a warning message and will not accept the transaction until the problem is resolved.