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The Enrollment team at Sun Knowledge comprises of motivated and industry-seasoned professionals with a profound understanding of the US health care domain. With Prescription Drug Event acceptance of over 99%, we offer accurate and prompt enrollment services to various health insurance companies from across US. After collecting enrollment requests, we verify the eligibility of our members, eventually processing their applications with our customized software. We generate and submit all enrollment related transactions to the CMS and other agencies. We regularly correspond with our members, while ensuring that our contact center, claims processing and billing teams receive accurate information about them.

Our solutions are compliant with the rules and regulations of Federal and State bodies. The Enrollment services, provided by Sun Knowledge, are:

  • Enrollment Data Collections
  • Enrollment Validations
  • Eligibility Confirmations
  • Submission of Enrollment related Transactions to the CMS
  • Updating Member Databases
  • Processing of BCSS and TRR Files
  • Processing and maintaining Ad-Hoc Requests from Members
  • Member Correspondences
  • Enrollment Reconciliations
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Copyright © 2012-13 Sun Knowledge. All Rights Reserved.
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