Medicare Advantage
Medicare Advantage Expertise
With over 22 years of experience in Medicare Advantage, we ensure that your filings are not just compliant but strategically positioned to thrive in a competitive market. Our expertise spans across the full spectrum of Medicare Advantage plans, including network and non-network options.
Medicare Advantage Filing Solutions
Your Go-To Partner for Navigating the Complexities of Medicare Advantage
Network Filings
Medicare Advantage plans often have provider networks, including a wide range of doctors, hospitals and facilities contracted to deliver quality care to members. We ensure network filings are filed correctly and on time—in advance of enrollment—to ensure seamless onboarding!
Non-Network Filings
Don’t need support with your provider network? No problem. We cover all HMO, PPO, and PFFS supplemental network-product refreshes in HPMS on your behalf for CMS.
Product Filings
Need help with product filings? We’re experts in bundled Part A Hospital Coverage, Part B doctor and outpatient services, and Part D Rx coverage, including HMO/HMOPOS, PPO, RPPO, PFFS, MSA, EGQP, and SNP.
Comprehensive Medicare Advantage Filings
With a comprehensive suite of services designed to address every aspect of Medicare Advantage filings and management, we are your go-to partner for navigating the complexities of Medicare Advantage. Our world-class Medicare Advantage filing experience, includes:
- Filing for national and regional health plans
- Crafting & submitting member benefit documents
- Customer service
- Network adequacy
- Provider contract negotiations
- Provider relations
- Compliance/regulatory
- Competitive analysis
- Portal management
Automated Regulatory Filing
Our intelligent SaaS solution ensures a seamless and simple user interface for filing success through automated, real-time access to state guidance, streamlined integration and dissemination of binder, form and rate filing deadlines and requirements.
- Simplify filing with user-friendly template assistance
- Streamline workflow for internal teams
- Take the guesswork out of deadline tracking & management
We make filing success look easy
Reclaim time, control and confidence with an end-to-end partnership that beautifully and seamlessly connects human and machine intelligence, so you can get accuracy right from the start—when it matters most.
Get Inspired
Get Inspired
Explore regulatory compliance insights and tips for health plan growth and success.
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