Reconciliation Services
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Helping you manage and grow your Medicare business thru:
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With the Revenue360o Recon+ and RxRecon options customers can automatically generate the IntegriGuard file to correct demographic information (age, sex, hospice, ESRD, part A coverage, Institutionalized, and Medicaid). This file will then be available for download to the Plan or electronically transmitted by Member360o to IntegriGuard. Recon+ and RxRecon will provide you the tools to reconcile your payments from CMS on a monthly basis. Our new Reconciliation Services will provide you with reports detailing critical information including the following:
Payment
- PartC and PartD Payment Summary
- PartC and PartD Payment Discrepancies Detail
- Payment Discrepancies Aging
- Payment Extract
Indicator Discrepancies
- ESRD
- Hospice
- Institutionalized
- Medicaid
- Nursing Home
- Working Aged
- Part A or Part B Indicator Discrepancies
Other Discrepancy Reports
- Age Group or Gender Discrepancies
- County Code Discrepancies
- Out of Area Discrepancies
- Disease Groups Discrepancies
- Enrollment Discrepancies
Other Reports
- No Match on CMS Roster
- No Match on CMS Monthly Membership
- Risk Adjustment Factor
- PDE reports
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