Trending...
- Creative Investment Research Analysis Finds Slower GDP Growth, Rising Inflation
- Tru by Hilton El Paso Airport Opens to Guests
- J&J Exterminating Celebrates 65th Anniversary and Unveils Strategic Vision at Annual Team Meeting
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
- Fourth Annual Free Training Day Mid-Atlantic Returns Sept. 19, 2026
- Las Vegas Headliner Don Barnhart Brings National Touring Comedy Show to Comedy Cabana
- Nevada Boxing Hall of Fame Announces 14th Annual Induction Gala Weekend Honoring Classes of 2025 and 2026
- Brosix Celebrates 20 Years of Private Team Messaging for Small and Mid-Sized Businesses
- Top 15 Mosquito-Infested Cities in Louisiana and East Texas Ranked for 2026 Mosquito Season
"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
- Colonial Nissan Enhances Ownership Experience with Hall of Fame Package
- From Broken to Soaring Week 40
- Costa Oil Takes the Spotlight as Primary Sponsor at Pocono, Celebrates Team with Employee Appreciation Day Costa Oil to back the
- MoMojo Records announces new album from Mitch Woods
- Finnish Political Satire Film Generates 10,000+ Cross-Platform Interactions Following Gandalf Parody Video Across TikTok, YouTube and Telegram
"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
- ENTOUCH Recognized on Inc.'s 2026 Best Workplaces List for the Third Year Running
- P-Wave Classics Opens Pre-Orders for Volume II of Robert Bage's Hermsprong
- Cabinetworks Group announces recipient of 2025 Plant of the Year
- Honesdale Painters Launch Season With Act of Community Kindness
- Tuckwell Machinery Launches New Range of Woodworking Machinery
- A Brave Little Hero with Four Paws
- Pittsburgh-Area Author Erica L. Day Releases HER, a Christian Second-Chance Romance and Its Own Comp
- Revenue Optics Expands Its Private Equity Practice as Sponsors Move Inside Sales to the Center of Distribution Value Creation
- Ecuador Freedom Launches First Scheduled Motorcycle Tour of Northern Peru's Lost Kingdoms
- Lineus Medical Completes Financial Restructuring with KMF Investments- Launching a New Era for SafeBreak
- Neuro Recovery Institute Showcases Emerging Immersive Neuro-Rehabilitation Technology at Clinical Innovation Open House
- Community, Conservation & Waterwise Inspiration Bloom on June 6
- Industrial and systems engineers celebrate key leaders in the field at IISE Annual Conference
- Cosanostra Miami Rises as the Best Latin Nightclub in Miami in Under Two Years From its Opening
- CCHR Leader's 50-Year Fight for Psychiatric Drug Victims Gains National Momentum
- Endless Mountain Music Festival Celebrates 21st Season with America250-Inspired Lineup
- Author Releases 7-Day Screen Time Reset for Families as Teachers Worldwide Report Children "Struggling to Grasp Basic Concepts"
- Men's Health Month Begins with Record Proclamations, AP News Coverage, & National Momentum for Men's Health
- Blueshirt Media Launches HIPAA-Compliant AI Call Answering for Addiction Treatment Centers
- AdvisorVault Adds Social Media Archiving to its Consolidated D3P Service