Our Client, one of the largest insurers, engaged Trexin to lead a comprehensive reconciliation program to recover premium subsidy revenue across a base of nearly 1 million members and reconcile federal eligibility with the Centers for Medicare and Medicaid Services (CMS).
Specializing in primary care for seniors, our Client experienced explosive success, growing in five years from 5,000 patients to over 30,000 patients served by 37 medical centers in 25 cities within 8 markets. This rapid growth led to serious data quality issues, heavy manual intervention for most key processes, and. . .