Automate Health Plan Operations with Medicare Enrollment Application - eEnroll360

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.

eEnroll360 Key Components

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

e-Enroll

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