Trending...
- Mayor Brandon Johnson, City Officials, and Community Leaders Outline Plans For Chicago's 2026 Mexican Independence Day Celebrations
- Chicago: Mayor Brandon Johnson, Lawndale Christian Health Center Celebrate Grand Opening of New Family and Senior Health Center
- Johnnie Mandela Releases THOUGHT in the Age of AI
Beacon's Enrollment Manager eases payers' administrative burden, improves communications with brokers and enrollees, and increases member satisfaction.
HUNTINGTON BEACH, Calif. - illiNews -- Beacon Healthcare Systems, a leader in compliance and regulatory solutions for payers, partnered with a regional Medicare Advantage (MA) plan to launch the new Beacon Enrollment Manager (BEM) module for Medicare Advantage and Part D enrollment and membership processing. As a result, BEM enabled the plan to improve efficiency by 92%.
Beacon implemented BEM at the plan prior to the Annual Enrollment Period (AEP) on October 15, 2021. The automated solution vastly improved productivity, helped ensure CMS compliance, and enhanced the MA member and broker experience.
Beacon's passion for partnership extends through product launches and implementations that are recognized for their commitment to schedule and budget. "We were especially pleased to partner with this client as this was our second product launch with them," said Ken Stockman, chief executive officer of Beacon. "The input we receive from our plan partners during product design on BEM and other modules is vital to unequivocally solve payer challenges."
More on illi News
"Our partner plan's senior management calls BEM a 'game-changer,'" said Dick Warren, vice president of product and industry enrollment expert. "Before BEM, it took the plan nearly an hour to process a new application, including manually generating required correspondence. Using BEM reduced that time to less than 5 minutes, even with any plan-required manual validations and a newly added Option Supplemental Dental Benefit (OSB) for the 2022 plan year."
Beacon's Enrollment Manager helped the plan wrap up AEP successfully and called BEM "a vast improvement" and "very impressive." Members, sales associates, and brokers have been delighted with the enhanced communication, application tracking, and overall timeliness, especially during the recent AEP.
Automated from App to Approval
Digital automation allows applications to flow seamlessly from intake to CMS and downstream to vendors like print and fulfillment. Processors only need to act on submissions that do not pass automated validations.
Beacon's Enrollment Manager integrates directly into a plan's core and downstream systems for real-time Medicare membership updates and includes real-time connectivity with CMS to verify Medicare eligibility (BEQ – BIC). Automated CMS file transmissions use state-of-the-art APIs plus best practice workflows to ensure secure end-to-end application handling and completion.
More on illi News
"Historically, the application process for Medicare Advantage and Medicare-Medicaid Plans (MMPs) has been labor-intensive," said Warren. "So, we have automated enrollment from receipt of the application from any source to CMS acceptance, including generation of member correspondence. Staff time to process a clean application is eliminated. Human intervention is only needed when data is missing or rejected. Processing timeliness and accuracy are vastly improved with less significantly manual work effort."
About Beacon Healthcare Systems
Beacon Healthcare Systems streamlines the business of healthcare through reliable, innovative SaaS technology delivered by industry experts. With a focus on appeals, grievances, compliance, enrollment, supplemental benefits, and analytics, Beacon HCS is the first-place health plans turn when looking for a trusted, experienced partner that can help them reduce costs, grow revenue, and achieve their strategic goals. Founded in 2011, Beacon HCS is a privately held California-based company. Beacon is hiring! beaconhcs.com/careers
Beacon implemented BEM at the plan prior to the Annual Enrollment Period (AEP) on October 15, 2021. The automated solution vastly improved productivity, helped ensure CMS compliance, and enhanced the MA member and broker experience.
Beacon's passion for partnership extends through product launches and implementations that are recognized for their commitment to schedule and budget. "We were especially pleased to partner with this client as this was our second product launch with them," said Ken Stockman, chief executive officer of Beacon. "The input we receive from our plan partners during product design on BEM and other modules is vital to unequivocally solve payer challenges."
More on illi News
- Northeast Airlines aligns with European Investment Group
- Retell AI White Label Platform for Agencies Launched by VoiceAIWrapper, With Branded Client Portals and No Per-Minute Markup
- FOCUS Names Mark Phillips Senior Vice President of Business Development
- STLE's Interactive Lubrication Training Experience Returns to Southwest Research Institute
- Notaron Expands Online Notarization Access Following Wisconsin Approval
"Our partner plan's senior management calls BEM a 'game-changer,'" said Dick Warren, vice president of product and industry enrollment expert. "Before BEM, it took the plan nearly an hour to process a new application, including manually generating required correspondence. Using BEM reduced that time to less than 5 minutes, even with any plan-required manual validations and a newly added Option Supplemental Dental Benefit (OSB) for the 2022 plan year."
Beacon's Enrollment Manager helped the plan wrap up AEP successfully and called BEM "a vast improvement" and "very impressive." Members, sales associates, and brokers have been delighted with the enhanced communication, application tracking, and overall timeliness, especially during the recent AEP.
Automated from App to Approval
Digital automation allows applications to flow seamlessly from intake to CMS and downstream to vendors like print and fulfillment. Processors only need to act on submissions that do not pass automated validations.
Beacon's Enrollment Manager integrates directly into a plan's core and downstream systems for real-time Medicare membership updates and includes real-time connectivity with CMS to verify Medicare eligibility (BEQ – BIC). Automated CMS file transmissions use state-of-the-art APIs plus best practice workflows to ensure secure end-to-end application handling and completion.
More on illi News
- Mondo teams up with Paragon Sports Constructors as official outdoor track partner for Texas
- Exercise Scientist Turns a Personal Heart Scare into a Free Training Tool
- Wings Air Helicopters Selected to Support VIP Transportation for Resorts World in New York
- Scoop Social Co. Brings Its Signature Mobile Dessert Experience to Houston This October
- Chicago: Mayor Brandon Johnson, Department of Technology and Innovation Launch Revamped Mayor's Office Website
"Historically, the application process for Medicare Advantage and Medicare-Medicaid Plans (MMPs) has been labor-intensive," said Warren. "So, we have automated enrollment from receipt of the application from any source to CMS acceptance, including generation of member correspondence. Staff time to process a clean application is eliminated. Human intervention is only needed when data is missing or rejected. Processing timeliness and accuracy are vastly improved with less significantly manual work effort."
About Beacon Healthcare Systems
Beacon Healthcare Systems streamlines the business of healthcare through reliable, innovative SaaS technology delivered by industry experts. With a focus on appeals, grievances, compliance, enrollment, supplemental benefits, and analytics, Beacon HCS is the first-place health plans turn when looking for a trusted, experienced partner that can help them reduce costs, grow revenue, and achieve their strategic goals. Founded in 2011, Beacon HCS is a privately held California-based company. Beacon is hiring! beaconhcs.com/careers
Source: Beacon Healthcare Systems
Filed Under: Health
0 Comments
Latest on illi News
- X2Griffon maiden flight: first landing projection points to Vigo County, Indiana; will it change?
- GOOBZ'D™ Begins Official Character Rollout With CHOMPZ, Character #001
- WCIA 3's Kevin Lighty to Interview Aerostratospheric President Jeremy Higgs on Behind the Forecast
- Congressman Chuck Edwards (NC-11) Presents ReadyCommunities Partnership 2026 National Service Award to Local Businessman / US Air Force Veteran
- Aerostratospheric test Launches x1Albatross
- Cress Creeks Farm Opens Fall Corn Maze and Baby Lamb Hayride Experience in Ellijay, Georgia
- Allstream Energy Partners Nominated in Multiple Categories for Fast Company's Best Workplaces for Innovators
- Chicago Creator Aaron Devere Unveils GOOBZ'D™, an Original Animated and Collectible Universe
- Kerri Lawless Introduces New Home-Selling Option for Local Homeowners
- FDA-Cleared Zeta TMS Robotic System Moves Toward Deployment as FDA, DARPA and Commercial Catalysts Converge: NRx Pharmaceuticals (N A S D A Q: NRXP)
- Baird Medical Turns Global Expansion Into Tangible Growth: N A S D A Q: BDMD Posts 25% Revenue Surge as U.S. and International Markets Accelerate
- Chicago: Mayor Brandon Johnson, Ald. David More, and DPD Celebrate Re-opening of the Mat Laundromat in Englewood
- Chicago: Mayor Brandon Johnson Cuts Ribbon on Austin United Alliance Apartments, Bringing 78 Mixed-Income Homes to Austin's Soul City Corridor
- Shelter Structures America makes European debut at TEMPOR EXPO 2026 in Fulda, Germany
- Johnnie Mandela Releases THOUGHT in the Age of AI
- MAZ6R CLAN & Riviera Marketing: 9/11, 25 - Years Later - "A Creative Response to Tragedy!"
- CodeAutomation Expands U.S. Footprint to Meet Growing Demand for AI and Automation Solutions
- HydroExcavation.com Relaunches With Exclusive Local Service Areas and Dedicated Hydrovac Manufacturer Directory
- Sky Quarry Enters a Powerful New Chapter: Refinery Restart Emminent, Nevada Oil Initiative and Visibility Put (NAS DAQ: SKYQ) in the Spotlight
- OneVizion Launches Vera AI, Bringing Connected Operational Context to Infrastructure Teams