End-to-end member management solutions drive the member ecosystem with multi-channel support of prospects’ inquiries, enrollment and transition, member care and support and retention. Our member-centric advisors take on your inbound and outbound sales to convert interest into business. Omni-channel capabilities serve members through the channel(s) they wish to be served on including proactive outreach to improve their experience.
Includes back office account setup, processing, adjudication and presentment; document management, data entry, workflow enablement, mailroom, and printing. Policy support includes premium reversals/charge backs, cancellations, payment reconciliation and beneficiary/policyholder updates. Persistency/retention includes renewal accounting, reinstatement of lapsed plans and revival accounting. Benefits management includes plan administration, additions/deletions of riders/amendments, surrenders/refunds, and maturity or survival benefits.
We provide outsourced HIPAA-compliant outsourced multi-channel contact center, technology services and transaction processing solutions, so that you can focus on patient outcomes, experience, and satisfaction. We similarly work with third-party administrators (TPAs) and pharmacy benefits managers (PBMs) to extend patient experience and enhance competitive/cost advantage. Also leverage our automation enablement, accounting, patient communications (including apps) and digital services.