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.