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Membership Management Solution (MMS)

Payer Solutions

Core xRM Membership Management Solution (MMS)

The Core xRM Membership Management Solution (MMS) offers the health plan the opportunity to create a consolidated membership source of truth to facilitate various operational and reporting functions. Data from enrollment, eligibility, payment, and claims systems can be combined to paint a 360 degree view of the member.

Our Solution

Often times a health plan relies on various, disconnected systems to manage membership. This leads to fragmentation of data that can be difficult (if not impossible) to report on and share within the enterprise. The Core xRM Membership Management Solution (MMS) consolidates all of this information into a single system while ensuring data integrity.

Capabilities

  • External Systems Integration (Inbound & Outbound)
  • Data Anomaly Detection
  • Data Reconciliation
  • Workflow & Automation
  • Reporting