Trending...
- Heritage at South Brunswick Introduces New Ferndale Floorplan: The Largest Single-Family Home Design in the Community
- LiteracyNation's 3rd Annual Indie Author Book Fair
- International Rights Groups Raise Alarm Over Freedom of Religion and Expression in South Korea
Beacon's Enrollment Manager eases payers' administrative burden, improves communications with brokers and enrollees, and increases member satisfaction.
HUNTINGTON BEACH, Calif. - PennZone -- 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 The PennZone
"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 The PennZone
"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 The PennZone
- Crossroads4Hope Marks 25 Years Ensuring No One Faces Cancer Alone At its Inspiring Hope Gala
- Imagen Golf & Top 100 Coach Daniel Guest Voted Best Golf Instruction Firm of the Year 2026
- Q1 2026 Arizona Technology Industry Impact Report Recaps Advanced Manufacturing Growth, High-Value Jobs and Workforce Investment
- Former Prosecutor Opens Stegall Law in Summerville
- Vboost Celebrates 14 years of Automotive Viral Marketing
"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 The PennZone
- M.C. Weeks, Inc. Marks 80 Years of Family Ownership and Brand Refresh
- Ignazio Arces Wins Stevie® Award for Maverick of the Year at the 2026 International Business Awards
- SMACK Fighting Championships Debuts a New Sports Concept in Philadelphia
- Tickeron Highlights AI Trading Agent Performance Across Multiple Market Sectors
- Stop Bleeding Cash on Mediocre Talent. Build a Powerhouse Remote Team Instead
"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
0 Comments
Latest on The PennZone
- ASSIST Software Becomes One of the First European Companies Certified to ISO/IEC 42001
- The World's No.1 Superstar® Enters the Occult with New Track and Cinematic Visual "Under Your Spell"
- PricZone Launches Online Shopping Platform Offering Electronics, Gaming, and More
- Heritage at South Brunswick Introduces New Ferndale Floorplan: The Largest Single-Family Home Design in the Community
- Lineus Medical Elevates Leadership to Accelerate Growth After Breakthrough Clinical Results
- Gateway Center Arena Announces Duane Curry as General Manger
- Mumbai Central Farmers Market Launches Community Collective for More Value and Connection
- XRPPower Expands Platform Security With Enhanced Brand Protection and Official Verification Standards
- Cuvo Health, the #1 White Label Telehealth Platform, Surpasses 300 Exclusive Providers Serving All 50 States
- Birkdale Investments LLC Acquires Assets of Mumbai Central Farmers Market, Unveils Expanded Vision
- RAS AP Consulting Expands Managed AP Governance™ Ecosystem, Launches Trademark Process, and Secures IFOL Speaker Invitation
- UK Financial Ltd Makes History: Chainlink CRE Circulating Supply Verification Goes Live Across Its Complete Ecosystem Of Nine Exchange-Traded Tokens
- International Rights Groups Raise Alarm Over Freedom of Religion and Expression in South Korea
- The City's Most Elegant Open-Air Dinner Party Returns September 12, 2026
- LiteracyNation's 3rd Annual Indie Author Book Fair
- FDA Clears Major Regulatory Hurdle as Preservative-Free Ketamine Program Moves Within Reach of Commercialization: NRx Pharmaceuticals: (NAS DAQ: NRXP)
- Autonomous Robotics Platform Expansion as Public Market Debut is Very Close: MBody AI Corp. (N A S D A Q: MBAI)
- Loud! OOH calls for prize draw advertising standards as £1.3bn category moves outdoors
- Insurance for Braces Helps Make Treatment More Manageable for Pennsylvania Families
- Black Ribbon Productions Launches With Fearless 2026 Horror Slate