Is your CFO looking to improve the current reconciliation being done internally?
Are they looking to identify any gaps between your plan and CMS that is currently impacting your monthly plan payment or expected to in the future?
What's The Problem?
Traditional methods of reconciling CMS files do not yield significant results. Health Plans typically stop reconciling at the member demographic level and fail to address the data errors which lead to financial losses.
Working with our experts to perform membership and financial reconciliation will benefit your organization in many ways.