CMS Processing

MarketProminence provides the ability to electronically select transactions completed for submission to CMS. All transaction types for enrollment, disenrollment and change transactions can be selected and formatted into CMS’s file format for electronic file transfers. Weekly and monthly reply processing provides continued membership data tracking.

• Enrollment transactions – Group (60), Standard (61), Retro Enroll (62)
• Disenrollment transactions – Standard (51)
• Process Change Transactions (72) (Premium withhold, no. months, premiums) 
• Process No RX (NoRX) file    
• Provide sophisticated weekly/monthly/special Transaction Reply Codes (TRC) processing
• Implement mass processing of conditional data for automated business processes
• Automate tasks, alerts and individual staff follow-up assignments
• Manage all required CMS letters automatically within time limits