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Trust the market leader to deliver innovation and results
Infocrossing Healthcare Services, Inc. has been an innovator in the Medicare Advantage program for more than 18 years, and currently provides services to 90 managed care organizations across the country. Our team of healthcare experts, IT specialists and health plan veterans can equip you organization with solutions that deliver advanced web-based technologies, proven processes and measurable returns.
Eligibility and enrollment services made simple:
Our eligibility and enrollment services are provided under an agreement with the Centers for Medicaid and Medicare Services (CMS). We receive extracts from the Medicare Beneficiary Database (MBD) from CMS, providing all the eligibility information required to successfully enroll members.
Complete transaction management services:
These include reliable eligibility verification information from CMS, member enrollment and disenrollment capabilities, and automated reconciliation services to recover the 10% to 12% of monthly CMS capitation payments many plans lose due to incorrect or incomplete information.
RECON+ Payment Reconciliation:
Our RECON+ payment reconciliation system is a reliable and cost-effective solution for reconciling CMS capitation payments for Medicare Advantage. Through its rules-based process, RECON+ adds intelligence and automation to the reconciliation process.
A legacy of leadership:
These and other services for Medicare Advantage reflect the leadership of Infocrossing Healthcare Services in the Medicare market - as does the fact that we process nearly 20% of all Medicare Part B claims, and are at the cutting edge with new Medicare Part D services, as well.