Medicare Advantage

Medicare Advantage Expertise

With over 22 years of experience in Medicare Advantage, we ensure that your filings are not just compliant but strategically positioned to thrive in a competitive market. Our expertise spans across the full spectrum of Medicare Advantage plans, including network and non-network options.

Medicare Advantage Filing Solutions

Your Go-To Partner for Navigating the Complexities of Medicare Advantage

Network Filings

Medicare Advantage plans often have provider networks, including a wide range of doctors, hospitals and facilities contracted to deliver quality care to members. We ensure network filings are filed correctly and on time—in advance of enrollment—to ensure seamless onboarding!

Non-Network Filings

Don’t need support with your provider network? No problem. We cover all HMO, PPO, and PFFS supplemental network-product refreshes in HPMS on your behalf for CMS.

Product Filings

Need help with product filings? We’re experts in bundled Part A Hospital Coverage, Part B doctor and outpatient services, and Part D Rx coverage, including HMO/HMOPOS, PPO, RPPO, PFFS, MSA, EGQP, and SNP.

Comprehensive Medicare Advantage Filings

With a comprehensive suite of services designed to address every aspect of Medicare Advantage filings and management, we are your go-to partner for navigating the complexities of Medicare Advantage. Our world-class Medicare Advantage filing experience, includes:

Filing for national and regional health plans
Crafting & submitting member benefit documents
Customer service
Network adequacy
Provider contract negotiations
Provider relations
Compliance/regulatory
Competitive analysis
Portal management

Automated Regulatory Filing

Our intelligent SaaS solution ensures a seamless and simple user interface for filing success through automated, real-time access to state guidance, streamlined integration and dissemination of binder, form and rate filing deadlines and requirements.

We make filing success look easy

Reclaim time, control and confidence with an end-to-end partnership that beautifully and seamlessly connects human and machine intelligence, so you can get accuracy right from the start—when it matters most.