Sure, today’s health plan administration challenges include items such as eligibility, claim status and benefit applications. But you also need to reach out and help consumers in this new world of healthcare.
To navigate the challenging new health plan administration landscape, consider calling in a trusted partner to the top health plans in the industry. You can rely on our:
- Understanding of the market
- Clinical and consultative expertise
- Deep experience resolving administrative challenges
- Solid customer care engagement models for prevention and wellness programs.
We’re a leading provider of health plan administration and customer care services. Our 3,000 dedicated Payer agents provide services that include:
- Benefits Explanation and Verification
- Claim Status
- Complaints and Appeals
- Disease Management Programs
- Eligibility Verification
- Enrollment Processing Services
- Health and Wellness Programs
- Missing/Invalid Information Research
- Payment and Benefits Explanation
- PCP Change
- Product/Services Information
- Referral Requests and Status
- Satisfaction Surveys
- Welcome Calls.
We’re also a leading-edge provider of call center technology services, including:
- Interactive Voice Response (IVR)
- State-of-the-Art Computer Telephony Interface (CTI)
- Customer Relationship Management (CRM)
- Advanced Switch/Multiple Platform Integration Solutions.