Premium Billing

MarketProminence provides a Premium Billing solution that handles all CMS regulatory requirements, capture all data necessary to create reports for financial analysis and execute procedural requirements.

• Manage multiple source Premiums including Parts C & D, LIS, LEP, Employers, Pensions and individual directly and SSA.
• Process required CMS files including Monthly Membership, SSA Premium Withhold and LIS/LEP
• Manage and automate ACH bank interface
• Calculate Late Enrollment Penalty (LEP) for billing
• Automate retroactive adjustments based on dynamic member data
• Provide collections and delinquency controls for multiple revenue streams