Encore Integrity, LLC

Member Level: Sponsor

Vendor Overview

Description of Services: Encore Integrity, LLC (Encore) is a healthcare consulting company rooted in technical solutions to support Affordable Care Act and Medicare Advantage payers with their most complex problems. Our team of former health plan executives, finance, eligibility, and billing experts, and data scientists have decades of experience advising clients on how to quickly achieve operational efficiency while addressing a rapidly changing regulatory environment.

Most recently, Encore has developed an enrollment data reconciliation platform that helps health plans navigate the complexity of member data management, applying our reconciliation expertise to create actionable insights that fix operational issues, automate payment disputes, and stay ahead of what’s next.

Encore Integrity is a wholly owned subsidiary of Berkeley Research Group, LLC (BRG), a global consulting firm that helps leading organizations advance in key areas such as performance improvement and advisory.

Primary Service: Consulting
Secondary Service: Financial Operations

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2200 Powell Street
Suite 1200
Emeryville, CA 94608
(877) 696-0391
https://www.encoreintegrity.com/

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Documents
11/3/2023

Recording: ACA Enrollment Reconciliation Made Easy
Precise enrollment data reconciliation is critical for timely and accurate premium payments. Leaders from Encore Integrity will discuss how its proprietary data platform leverages decades of enrollment experience at CMS and ACA plans to help your health plan avoid discrepancies that can delay advance premium tax credit (APTC) payment. We will demonstrate how our tool automatically ingests dozens of complex data sources directly from your data warehouse analyzing the entire member lifecycle with the ability to create direct data updates to your database as well as submission-ready disputes.

10/31/2023

Presentation: ACA Enrollment Reconciliation Made Easy
Join to learn how to navigate the complexity of member data management to create actionable insights that fix operational issues, automate payment disputes, and stay ahead of what's next. Learn about Encore Integrity's enrollment data reconciliation platform that help you pinpoint the root cause and a resolution to any outstanding premium revenues.

5/16/2023

Eliminate APTC Reimbursement Delays with Encore Integrity’s Enrollment Reconciliation Tool
Encore Integrity’s team of former health plan executives, finance, eligibility, and billing experts, and data scientists has collaborated to develop a reconciliation tool that will identify the root cause of discrepancies easily and efficiently and allow for recapture of your accounts receivable.