Member Services

Utilize MarketProminence to automate all Member Service processes required to track correspondence with a Plan’s membership.

• Create Coordination of Benefits (COB) non-validated survey
• Generate COB file to contractor and process updates with validated data
• Generate and capture Working Aged survey data and collect and manage replies
• Create required Working Aged file for CMS
• Provide tracking and program management for Welcome Calls
• Assess, generate and track Member Retention programs
• Track and quantify Health Risk Assessments
• Manage complex standard and expedited Grievance and Appeals within
  required time limits
• Maintain and manage programs for Out of Area and Snowbird members