Streamline Member Onboarding
Xpress™ Enroll, our software for onboarding members across all lines of business including PACE plans, streamlines member onboarding by supporting real-time eligibility verification, automated data exchange, compliance with CMS/state mandates, and seamless integration with CMS, Pace and or payer core systems.
Enrollment Made Easier Across All Lines of Business
- ›Medicare Advantage: CMS-compliant enrollment submissions, electronic SOA (Scope of Appointment), Medicare Beneficiary Identifier (MBI) capture, automated plan eligibility checks.
- ›Commercial (Employer/Individual): Online enrollment portals, benefit plan comparison tools, integration with brokers/employers, ACA compliance.
- ›Medicaid: State-specific file formats and rules, eligibility verification via state portals/APIs, support for managed care enrollment, multi-language support.
- ›Exchange/Marketplace (ACA): Integration with federal/state exchanges (834 transactions), special enrollment period rules.
Scale with Leading Support
Xpress™ Enroll reduces manual entry and processing delays for faster enrollment. It improves accuracy, provides regulatory assurance and it provides a better member experience.
Maximize Efficiency for Annual Enrollment Periods
Onboard members faster and more affordably than your current system or temporary staffing solutions with our BPO or BPaaS options and software.
“They gave me my wishlist … What vendor does that?”
Stand Out in a Crowded Medicare
Market with AI-Driven Enrollment
Xpress™ Enroll for Medicare Advantage leverages AI to support decision making and RPA (Robotic Process Automation) to support repetitive tasks for overall improvement of efficiency, reduction of errors, and reduction of administrative and technical costs.
For example, we use RPA for out-of-area tracking including mailing reminders, final notices, and sending termination transactions to CMS as these are repetitive tasks. For Return Mail look ups to USPS and address validity and formatting, we match these with AI for a review of updated address information to remove members from out-of-area processing.
Navigate CMS Regulations with
Confidence
Xpress™ Enroll for Medicare Advantage has extensive monitoring for compliance requirements. We have real-time eligibility with CMS, a correspondence engine, and dashboards for CMS submission timeliness and CMS Part C and D reporting.
Gain Insights With Elevated
Reporting
Xpress™ Enroll for Medicare Advantage includes operational reporting and aging for all open and active application and TRR inventory, dashboards to measure key performance indicators, application processing timeliness, CMS submission timeliness, TRR processing timeliness, member correspondence mailing timeliness, to name a few examples. Reporting is also customizable.
Xpress™ Enroll Features
- › Medicare, Medicaid and Commercial lines of business and PACE plans
- › Connectivity to CMS
- › Guided enrollment workflows
- › Support for multiple plans and rules
- › Real-time validation to reduce errors
- › Integration with payers and providers
- › Faster onboarding and higher member satisfaction
- › Chat bot or User Assistant
- › Full or partial BPO Option available
Our Modules - with or without BPO Services
Monument Xpress™ Claims
Xpress™ is a fully loaded core claims processing system but implemented in half the time, and at half the cost.
Learn MoreXpress™ Auth
AI-driven prior auth automation that accelerates approvals, ensures compliance, and improves provider and member experience.
Learn MoreXpress™ Communication
Secure, intelligent fax and communication automation that eliminates manual handling and integrates with plan workflows.
Learn MoreXpress™ Enroll
AI-driven enrollment for Medicare, Medicaid and Commercial lines of business. Connect direct with CMS.
Learn MoreXpress™ Appeals & Grievances
AI driven for more accurate case resolution while ensuring complex regulatory requirements and deadlines.
Learn MoreXpress™ Clinical Assistant
Standalone AI web + mobile tool for clinical decisions. Human-approved for Prior Auth and Clinical Appeals.
Learn MoreXpress™ Intake
Automate and categorizes intake from multiple channels (portal, fax, email, EDI and API), validates eligibility, classifies and routes it forward.
Learn MoreXpress™ Workflow
Configurable web + UI to build and link tasks into workflows. Models improve with time and usage.
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