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What is Newgen Medicare Enrollment?

Streamline your enrollment process by leveraging our all-encompassing, mobile-centric enrollment platform, which is specifically crafted to eliminate reliance on paper transactions and facilitate the smooth gathering of member data. Revamp your workflow across all stages, from enrollment to reconciliation and service delivery, thereby reducing errors and the need for manual intervention. Obtain a unified perspective of your assigned leads, pending tasks, alerts, and notifications to enhance management oversight. Take advantage of advanced prospecting tools, such as the capability to schedule activities, perform follow-ups, and manage lead assignments and searches with ease. Enjoy the benefits of remote and offline processing for applications and enrollments, granting instant access to crucial information that accelerates response times. Maintain compliance with Centers for Medicare and Medicaid regulations by effectively capturing scopes of appointment. Utilize versatile mobile forms that allow for the on-the-go collection of enrollees’ information and signatures, thereby making the entire enrollment journey more nimble and responsive. This innovative solution not only equips organizations to thrive in a rapidly changing landscape but also ensures precision and efficiency in member management, ultimately leading to heightened satisfaction among stakeholders. By adopting this approach, companies can significantly enhance their operational effectiveness.

What is LexisNexis Provider Integrity Scan?

In order to address potential risks, the Centers for Medicare and Medicaid Services (CMS) have established guidelines aimed at validating their networks. The significant influence of risk assessment processes on Pharmacy Benefit Managers (PBMs) has led to an unprecedented demand for accurate and actionable insights. The LexisNexis Provider Integrity Scan simplifies a variety of provider verification tasks and maintains continuous oversight by cross-referencing a multitude of files and lists, while additionally providing automatic notifications for various high-risk indicators. This tool excels in screening and validating providers both prior to and after enrollment, effectively working to detect and prevent criminal activities in the sector. By identifying potentially fraudulent providers and entities associated with health programs, the LexisNexis Provider Integrity Scan contributes to cost reduction for health care payers and PBMs. Furthermore, our cutting-edge solution enables users to perform multiple searches and access vital information, thereby improving their operational efficiency and security. This comprehensive strategy not only protects the integrity of health care programs but also cultivates a more trustworthy healthcare landscape, ultimately benefiting patients and providers alike.

Media

Media

Integrations Supported

Integrations Supported

XML

API Availability

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Standard Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Training Options

Documentation Hub
Webinars
Online Training
On-Site Training

Company Facts

Organization Name

Newgen Software

Date Founded

1992

Company Location

United States

Company Website

newgensoft.com/solutions/industries/healthcare-payer/medicare-enrollment/

Company Facts

Organization Name

LexisNexis

Date Founded

1970

Company Location

United States

Company Website

risk.lexisnexis.com/products/provider-integrity-scan

Categories and Features

Categories and Features

Healthcare Compliance

Not specified

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