Case Study: a Midwest-based regional health plan achieves accurate revenue reconciliation at scale with Reveleer

How a regional health plan serving Medicare and Medicaid lines of business centralized enrollment to improve data integrity, enhance efficiency, and recover revenue

A Midwest-based regional health plan faced significant challenges with its manual revenue reconciliation process, which relied on fragmented systems and outdated workflows. These inefficient methods consumed considerable time and left too much room for error, making it difficult to manage constantly changing membership data. To address this, they turned to Reveleer and implemented their Member Management Solution.

By adopting Reveleer's solution, the health plan centralized its enrollment, premium billing, and revenue reconciliation. This automation eliminated data siloes and manual work, leading to a 7-point decrease in membership discrepancies, an 80% reduction in payment discrepancies, and zero errors in their monthly attestations. Reveleer's software provided the health plan with greater accuracy, efficiency, and confidence in its CMS compliance.