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< Healthcare /  Comprehensive solution for Medicare Advantage market

e-Enroll

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Wipro's eEnroll360 is a modular solution that automates health plan operations including pre-enrollment, agent onboarding, commission management and beneficiary health risk assessment workflows.

The primary focus of the eEnroll360 solution is to offer agents a user-friendly and intuitive pre-enrollment workflow, which contributes to enhanced beneficiary satisfaction and improved health plan star ratings. The system acts as a reliable source of truth, ensuring real-time tracking of the book of business and accurate commission management.
e-Enroll
eEnroll360 Key Components
e-Enroll

Broker Onboarding

  • Multi-factor authentication and secure role-based access
  • Automated document validation, audit records and system notification capabilities
  • Collection of broker consent and agreement on compensation basis
  • Integrated training and assessment module for initial onboarding and recertification
  • Integrated Google Analytics and scope of appointment workflow
  • Robust workflow for rapid onboarding and ready-to-sell

Commissions

  • Commissions payment (including initials/renewals, chargebacks and rapid disenrollments), following all CMS guidelines
  • Support for multi-tier payment structures for FMOs, GAs, agencies, etc.
  • Automated commission cycles and statements
  • Real-time book of business tracking for each broker/agency
  • Flexible payments structures and rates
  • Support for various incentive payment structures

HRA

  • Integrated agent workflow to capture beneficiary health risk survey data at point of sale
  • Built-in health plan admin workflow to efficiently track pre- and post-enrollment outreach
  • Integrated call tracking and audit process
  • Identification of partially filled forms and assistance capturing member engagement follow-ups through calling support

 

How will eEnroll360 benefit your plan?

By ensuring a seamless enrollment process and improving the member experience, eEnroll360 drives a strong positive impact on star ratings. The solution also simplifies agent enrollment and the agent commission process while adhering to all relevant CMS guidelines. Additional benefits include:

  • Real-time automated eligibility verification with Marx and timely CMS submission, resulting in a 40% average reduction in application errors
  • On average, a 40% increase in the HRA adoption rate
  • Optimum payment to brokers
  • Health risk assessments (HRAs) at both pre- and post-enrollment
  • Mobility to enroll members anytime, anywhere with minimum manual intervention
  • Accurate on-field enrollment that contributes to an improved agent and member experience
  • Support for MA, MAPD, PDP, MedSup, ACA and commercial lines of business
  • Flexible product configuration capabilities
  • User-friendly campaign management functions to configure and track sales campaigns
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