Optimize Member Communications & Reconciliation
A unified solution to manage plan communications, streamline fulfillment, reconcile benefits, and do Other Health Insurance (OHI) data validation—helping healthcare payers improve accuracy, reduce risk, and work more efficiently.
Simplify Complexity. Improve Accuracy. Enhance Member Satisfaction.
Imagenet’s Member Communications & Reconciliation suite—powered by CODY®—brings together the technology and services payers need to manage, produce, and fulfill all member-facing communications from one centralized, compliant partner—while streamlining benefits coordination and reconciliation.
Our Core Solutions:
Member Communications – Centralized document management, streamlined fulfillment, and seamless production of plan benefits materials.
Benefits Reconciliation & Payment Accuracy – Real-time data synchronization for Medicare Secondary Payer (MSP) and Coordination of Benefits (COB), reducing overpayments and ensuring claims accuracy.
Empowering Healthcare Payers in Multiple Ways:
Seamless Document Management
Accurate Benefits Reconciliation
Cost-Effective Fulfillment
Data Accuracy & Compliance
Optimized Member Communications & Fulfillment
Delivering clear, accurate member communications across every touchpoint. Our solutions make it easy to manage critical documents—from plan benefits and member notices to secure print and distribution. With a focus on compliance and accuracy, we ensure health plans can operate with confidence and efficiency.
Core Capabilities:
Plan Benefit Package Module® (PBP): Centralized management of plan benefit data to simplify CMS bid review, creation of PBP-specific member materials, and accurate data sharing.
Collateral Management Module® (CM): Web-based platform that manages the creation, approval, and composition of member materials like ANOCs, EOCs, and Summary of Benefits (SBs).
Print & Fulfillment: Secure, HIPAA-compliant print and distribution of member materials—ensuring timely and accurate delivery.
Real-Time Benefits Reconciliation & Payment Accuracy
Our technology-driven solutions proactively synchronize benefits data and optimize payment integrity for payers. By centralizing data and automating reconciliation workflows, we reduce overpayments, improve claims accuracy, and ensure regulatory compliance.
Core Capabilities:
Medicare Secondary Payer (MSP) Module: Prevents payment duplication and reduces overpayments through coverage validation and reconciliation.
Coordination of Benefits (COB) Module: Streamlines benefits synchronization and coordination across multiple payers, ensuring accuracy in claims processing and minimizing administrative burden.
Case Study: Streamlining Member Materials for 100+ Benefit Plans
A Puerto Rico-based health plan—serving more than 117,000 Medicare Advantage members and offering Medicaid and commercial products—was managing over 100 benefit plans with no centralized system, leading to inconsistent formatting, version control issues, and elevated compliance risk. Imagenet implemented a structured, audit-ready solution—powered by CODY®—to digitize, organize, and streamline document workflows. The result: faster production, fewer errors, and improved CMS alignment.
See What Imagenet’s Member Communications & Reconciliation Solution Can Do for You
Looking for More Technology and Services Support?
CODY®, an Imagenet company, offers a full range of consulting, technology, and operational support solutions designed to help health plans streamline operations, improve compliance, and drive performance.