Overview
 
Products
Enrollment/ Eligibility
Risk Management
 
HCC Analytics
RAPS/Encounter Management
Plan Revenue Reconciliation
PDE Management and Audit
 
Customers
 
Services
 

 

Products
 
Enrollment/Eligibility



Voyager’s Enrollment/Eligibility Module provides the ability to:
Accept MA-PD, MA and PDP enrollment data
Export enrollment/disenrollment, correction and change transactions for submission to CMS
In-load weekly/monthly Election Transaction Reply Files (TRR)
Export BEQ files for submission to CMS
In-load BEQ reply files from CMS
Export approved/eligible members to core claims system
Utilize manual entry of election form data
Import data files containing election transactions
Utilize the flexible rules engine to edit election data for errors and work flow
Manage exceptions by creating work items placed in work queues
Allow examiners the ability to review/document and create correspondence and correct election data
Build correspondence packages from stored Word Document template libraries
Automatically initiate correspondence manually or from the rules engine
Export CMS ready files for BEQ submissions, enroll/dis-enroll and corrections files
Export enrolled members in to a core claims system
Export queued correspondence for electronic print and fulfillment