Healthcare Member Management Solution
Optimize member management with one unified Platform
The foundation for health plan success is built upon an enterprise member management system. Our innovative platform offers a comprehensive solution that seamlessly integrates enrollment, premium billing and revenue reconciliation. By unifying critical functions on a single platform, we empower health plans to improve efficiency, reduce errors and highlight opportunities for member care.
Tap into Reveleer's leading SaaS platform to streamline enrollment and improve revenue transparency
Streamline enrollment processes and ensure compliance with CMS regulations through automated BEQ integration, bi-directional CMS connectivity, and pre-built regulatory edits.
Manage member data, elections, and correspondence with ease using automated enrollment and disenrollment processes, electronic application management, and member-initiated disenrollment.
Our Platform centralizes patient data to create a longitudinal view of patient care that powers successful Risk Adjustment and Quality Improvement programs.
Gain a unified view of billing activity and streamline premium billing for individual and employer groups plans. Ensure attestation accuracy with our integrated Revenue Reconciliation solution.
Automate premium and dues calculations, including LEP payments and LIS management, ensuring accuracy and reducing administrative burden.
Manage member payments from diverse sources (SSA, lockbox, live checks) with ease, streamlining your revenue collection process.
Generate personalized invoices, statements, and delinquency notices to keep members informed and collections on track.
Reconcile member and plan data impacting earned revenue (excluding risk scores) against CMS data from the MMR, ensuring accurate financial reporting.
Identify discrepancies early on to avoid penalties, manage attestations effectively, and optimize cash flow.
Gain peace of mind knowing your revenue calculations are accurate and compliant with CMS regulations.
