Reconciliation

MarketProminence offers a variety of reconciliation tools to resolve the data variances identified between Plan data and CMS data.

• Create automatic monthly invoice for each member 
• Provide detail component level breakout of expected CMS PMPM payment
• Detail financial item comparison for maximum reconciliation
• Track and submit Integriguard file transmission
• Process business rules based on component trend analysis
• Reconcile RAPS claims submissions and adjust expected receivables 
• Work payment variances to line item based on specific data elements
  and payment amounts 
• Manage recurring open variances through completion with complete
  archival tracking