US MEDICARE ADVANTAGE SERVICES AND SOLUTIONS

Wipro's Medicare Advantage Services is the leader in quality departmental services to the Medicare Advantage and Prescription Drug (MA PD) market. We have been providing critical information technology services to the Medicare market for over 25 years, and we currently support over 110 Medicare Advantage customers.

Utilizing the excellent data centers within Wipro's system, Medicare Advantage leverages over 25 years of healthcare industry experience to affect the bottom line for Medicare Advantage and Medicare Prescription Drug Plans by delivering web-based applications and services in the following areas:

• Member Eligibility Verification
• Member Enrollment & Application Processing
• Enrollment Reconciliation
• Membership Management
• Correspondence & ID cards
• Premium Billing
• Payment Reconciliation
• Medicare Part D PDE and TrOOP Tracking
• HCC-based Risk Management
• Suspect Claims
• Part D Annual Recon
• Coordination of Benefits (COB) file editing and submission to GHI
• Encounter Data Processing

As subject-matter experts in the field of healthcare payer business systems technology Wipro Healthcare with its rich domain has achieved over 79% market penetration in the Medicare space. They bring expertise, customer service, best practices, innovation, and exceptional people to everything they do for their clients, as well as a long and well-managed relationship history with government entities such as the Center for Medicare and Medicaid Services (CMS).

Our targeted governmentally-focused departmental solutions, delivered under the Advantage360TM brand, represent a unique suite of end-to-end offerings that bring expert, cost-effective IT solutions to the Medicare Advantage market. Created exclusively for MAPD Plans, these services are delivered in an Application Service Provider (ASP) model, and provide end-to-end functionality to support eligibility, enrollment, membership management, premium billing, correspondence, revenue management, and healthcare analytics.

Member360: Membership and premium billing departmental MAPD business solution. It provides MAPD health plans with the necessary applications and tools to support enrollment, TRR, Correspondence and premium billing department.

Revenue360: MAPD revenue management service, which supports MAPD finance departments in managing their membership, financial impacts on their revenues, and provides analytics to identify and manage members with high health risks.

Member Enrollment and Eligibility: Comprehensive package of automation to streamline your eligibility verification and enrollment processing.