Medicare Advantage Plan Automation

Medicare Advantage Organizations

To succeed in a Medicare environment, organizations need a reliable system that can provide the right tools for efficiency and adaptability. And with Medicare Advantage plans in particular, you need a customizable platform that allows automation processes, ensure Medical Loss Ratio (MLR) is managed, and guarantee regulatory compliance through comprehensive built-in features.

QuickCap 7 is an advanced management platform that has Medicare plan automation to fit your Medicare Advantage needs. Through flexible parameters, QuickCap is customized to suit your specific operational needs. Manage the power to simplify your processes, streamline your workflow, and adapt to industry changes with ease.

A Flexible Automation System for Medicare Growth

Meet Medicine Requirements with Built-in Compliance Features

A management system that covers essential workflows such as compliance validation, claims adjudication, and utilization management (UM) is a must for any Risk-Based or Managed Care Organization. Keeping a pulse on every aspect of your business is essential toward managing outcomes, and compliance and efficiency for every network. 

With a flexible platform like QuickCap, you have full access to compliance tools for audits, reports, and data analytics, as well as administrative features for claims processing, pricing configurations, and contract management. With an advanced system, you can guarantee compliance readiness, faster workflows, and quality outcomes.

You can trust QuickCap 7 with your Medicare advantage plan automation, benefit coverage management, provider contracts, pricing configurations, claims adjudication, and more.

Empower your Medicare Advantage Business with QuickCap 7

As a comprehensive management platform, QuickCap can help you streamline your Medicare Advantage processes and experience the following benefits:

Experience fast and smooth electronic data interchange (EDI) transactions with our broad EDI features.

Store and process complex details such as benefit plan coverages, organizational contracts, provider profiles, and member information in one platform.

Ensure compliance of crucial regulatory requirements for Medicare Advantage plans.

Utilize advanced analytics and reporting tools to generate actionable information and manage populations with high-risk factors.

Set up every aspect of your workflow such as provider contracts, benefit plans, eligibility, member details, pricing information, healthcare codes, industry guidelines, risk sharing, case management, authorizations, UM, EDI, claims adjudication, and more.

Calculate payments in a user-friendly platform that allows you to configure pricing details for contracts, copays, deductibles, special fees, and more.

Streamline your workflow with extensive rule-based Medicare plan automation features.

Increase network communications through features that support instant messaging, internal emails, and ticket generation.

Ensure strong data security through extensive user-role options such as user access limits, configurable user restrictions, and customizable advanced security features.

Configure your user settings such as login authentication, password requirements, login attempts, lost passwords, guest access, and more.