Member Operations | Enrollment
Clean enrollment. Fast processing. Reliable member-plan alignment. Premium accuracy.
EnrollmentCURE Modular Solution
EnrollmentCURE keeps your adjudication platform aligned to the external source of truth and rapidly resolves anomalies in member contracts, benefit plans, PCPs, subsidies, and the premium or capitation dollars that follow. Purpose-built modules and extensions support:
- Enrollment data acquisition from multiple sources.
- Perpetual reconciliation, with automated discrepancy resolution.
- Member-plan alignment and PCP assignment.
- Eligibility validation and audit-ready enrollment history.
- Downstream synchronization with operational systems.
- Financial alignment with member contracts.
- Changes (including retroactive) implemented and tested within hours.
Fast Time to Value With 3-4 month Implementation
The CureIS team 20 years of expertise to enrollment processes. Proven workflows and an extensive menu of business rules and edits enable fast implementation.
UniSync Powered and AI Enabled
EnrollmentCURE integrates neutrally with unlimited data sources and enables automation of every process. Operating costs are lowered by eliminating downstream issues that result in reprocessing, appeals, or encounter denials.
Proven operational impact in the field:
- Systematized the manual processes and tribal knowledge enrollment teams rely on.
- Measurably increased first-time acceptance rates.
- Cut enrollment processing turnaround time by over 80%.
- Eliminated 98% of data discrepancies.
- Saved hundreds of manual input hours monthly.
