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A Revenue Management system for Medicaid Payers

Accurate and timely reconciliation of Medicaid enrollments and payments

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  • Fully automated reconciliation​
  • Discrepancy Identification and Reporting
  • Accurate retroactive adjustments
  • Real-time dashboards
  • Standardized Batch interface
  • Audit Support Functionality

Wipro's Revenue360 is a fully automated solution for managing financial data. It also reconciles State Beneficiary enrollment & payment data with Plan’s membership and expected payments. Reports are produced to identify and correct enrollment, demographic, and payment discrepancies.

Revenue360 solution can help you stay compliant with the State’s attestation requirements. It is important to meet the attestation requirements within the allocated timeframe, and this solution is designed to assist the Health Plans in efficiently managing and completing their attestation processes within the specified window.

Automate Medicaid Payment reconciliation by comparing actual Vs expected payments

Fully automated reconciliation of Beneficiary enrollment & payment data

Revenue360 Business Benefits

Enterprise solution designed for Pre enrollment and Post Enrollment scenario

Highly Configurable

Fully integrated and configurable solution with capability to turn on/off features as desired

Automated Reconciliation

Enrollment/Eligibility and capitation data from State entities with membership data and expected payments

Accounts Maintenance

Accurate individual ledger accounts for each member is kept to prevent any financial discrepancies

Discrepancy Management

Highly automated and configurable workflows for managing Payment Discrepancy Life-cycle

Audit Support

In-depth reporting, tracking and analytic capabilities for reconciliation process and mitigation of risk exposure

Regulatory Compliance

Transformational initiatives implemented along Regulatory Changes and Operational enterprise governance

Discover how Revenue360 can assist you in streamlining financial management and reconciliation processes.


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