The eligibility automation platform for Medicare Advantage supplemental benefit vendors
Rendum replaces manual eligibility checks and spreadsheet calculations with a deterministic, auditable pipeline — delivering a rendumized roster your billing system can trust.
What Rendum Does
- Automates eligibility verification from Medicare Advantage payer files
- Calculates billable days using deterministic, auditable rules
- Rendumizes your eligible members and delivers a verified billing roster to your system
- Handles retroactive enrollment changes and adjustments
- Tracks member enrollment status across multiple payers
- Provides real-time pipeline monitoring and alerting
- Exports data via REST API, SFTP, CSV, or direct ERP integrations
- Maintains full HIPAA compliance with SOC 2 Type II attestation
- Catches overbilling before it generates a credit — and underbilling before it silently disappears
- Provides one authoritative eligibility answer for your billing system and your care management platform
What Rendum Does Not Do
- Does NOT use AI or machine learning in the Rendumizer
- Does NOT replace your care management platform
- Does NOT manage clinical data or treatment records
- Does NOT handle claims adjudication or payment processing
- Does NOT interact directly with CMS or state regulators
- Does NOT require changes to your existing care delivery workflow
- Does NOT store credit card or financial account data
- Does NOT make probabilistic guesses about eligibility
Works with your payers out of the box
Rendum supports all major Medicare Advantage payers and can be configured for any custom payer format.
| Payer | Type | Status |
|---|---|---|
| UnitedHealthcare | National | Full Support |
| Aetna / CVS Health | National | Full Support |
| Humana | National | Full Support |
| Anthem / Elevance | National | Full Support |
| Centene | National | Full Support |
| Cigna | National | Full Support |
| Molina Healthcare | National | Full Support |
| Blue Cross Blue Shield | Regional | Full Support |
| Kaiser Permanente | Regional | Partial Support |
| WellCare | National | Full Support |
| Devoted Health | Regional | Full Support |
| Alignment Healthcare | Regional | Full Support |
| Clover Health | Regional | Partial Support |
| Oscar Health | Regional | Partial Support |
| Custom Payer | Any | Configurable |
Live in two weeks
From first call to go-live in 14 days. No lengthy implementations. No six-month timelines.
Discovery & Configuration
We review your payer contracts, file formats, and eligibility rules. Our team configures Rendum to match your exact specifications.
Data Integration
Connect your SFTP endpoints, set up API keys, and configure file ingestion schedules. We validate connectivity with test files from each payer.
Parallel Processing
Rendum processes your current roster files in parallel with your existing workflow. We compare outputs to identify discrepancies and missed revenue.
Validation & Training
Your team validates outputs, learns the dashboard, and we fine-tune eligibility rules. Every edge case is documented and configured.
Go Live
Switch to Rendum as your primary eligibility pipeline. Your old process becomes the backup. Dedicated support for the first 30 days.