Departmental Solutions for Medicare Advantage and Prescription Drug Plans


Infocrossing Healthcare Services is the leader in quality departmental services to the Medicare Advantage and Prescription Drug (MA PD) market. We have been providing critical information technology services to the Medicare market for over 22 years, and we currently support over 140 Medicare customers representing over 500 Medicare Advantage and Prescription Drug plans.
 
Our strong commitment to serving the Medicare Advantage and Prescription Drug industry has won us unparalleled customer loyalty. In 2008, our customer retention rate was over 98%, with a customer satisfaction rate of over 91%.

Our targeted governmentally-focused departmental solutions, delivered under the Advantage360TM brand, represent a unique suite of end-to-end offerings that bring expert, cost-effective IT solutions to the Medicare Advantage market. Created exclusively for MA PD Plans, these services are delivered in either an Application Service Provider (ASP) or a Business Process Outsourcing (BPO) model, and provide end-to-end functionality to support eligibility, enrollment, membership management, premium billing, correspondence, revenue management, and healthcare analytics.

Advantage360 TM consists of the following individual products:

Member360:  Membership and premium billing departmental MA PD business solution. It provides MA PD health plans with the necessary applications and tools to support both an enrollment and billing department. Member360 is only offered in an ASP model.

Revenue360:  MA PD revenue management service, which supports MA PD finance departments in managing their membership, financial impacts on their revenues, and provides analytics to identify and manage members with high health risks. Revenue360 is only offered in an ASP model.

Member360+:  Our MA PD BPO service, for those plans choosing to outsource their enrollment departments. This service combines experienced, knowledgable staff with powerful software and automation to manage the end-customer’s MA PD membership.

Recon360:  Our BPO service designed to replace or supplement a MA PD Plan’s financial department, by managing a Plan’s enrollment discrepancies and resolving the financial impacts associated with those discrepancies.

RAPS360:  Our BPO service designed to enhance an MA plan’s financial and health analytics department’s ability to properly manage its risk adjustment information, through the use of healthcare analytics (ICD-9s), financial forcasting, and trained healthcare procedure coding staff.

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For more information, please contact Infocrossing at 866.779.4369.