Royal is your choice for Medicaid or Medicare health plan solutions. Our executive team launched the Medicaid/Medicare health plan, Neighborhood Health Providers, a key player in the competitive New York City market. We have also supported several Medicaid start up plans via our business outsourcing solutions. Royal clients include Medicare Advantage/Part D programs and interfaces with CMS are in place.

 

We understand the government program market not as an outside vendor, but with a health plan perspective.

 

Our expertise includes:

  • Software customization for complex State and Federal requirements
  • Interfaces with CMS and State agencies for enrollment, eligibility, and billing
  • Automated membership and billing reconciliation
  • Member communication including call center support, outreach, and mailings