Seamless Medicare Membership Experience

Seamless member experience and flawless CMS (Centers for Medicare & Medicaid Services)  submission are key for  any health plan. With an experience of working with over 100 plans, Wipro has been providing eligibility verification, application processing, Transaction Reply Report (TRR) management, membership management and effective LIS(Low Income subsidy)/LEP (Late Enrollment Penalty)process handing, resulting in an increase of nearly 75-80% in operational efficiency in member enrollment.

Wipro’s Member360 product focuses on providing membership enrollment and management, supported by correspondence automation and generation, TRR, CMS file reconciliation and premium billing, amongst other features. Another key highlight of the product is to provide a 99% first-pass acceptance rate, leading to lesser number of rejections from CMS, with improved star ratings.