Regulatory Concerns In Enrollment Technology

Our Guest: Dave Laity

Enrollment technology designed around CMS regulations gives Medicare Advantage and Part D plans important advantages. Real-time integration with the CMS MARX database can validate Part A, B, and D eligibility faster than batch processing while accounting for special election periods. Automated workflows can also identify incomplete applications, request missing information, and update downstream systems when enrollment changes. Because enrollment is a member’s first interaction with a plan, the technology should connect seamlessly with claims processing, vendors, and correspondence. In this episode, discover how smarter enrollment systems can improve compliance, streamline operations, and create a more connected member experience from the start.