We're experts in highly-compliant member enrollment, service and administration support (Medicare, Medicaid and Commercial / EGWP).
With our technology and our people, we manage very large-scale end-to-end health insurance processes for our business clients - from eligibility and enrollment processing to service, premium billing and payment processing, reconciliation and other related services.
Our leadership team works diligently to install a commitment to quality and compliance into our culture and operations.
All functionality shown below can function as independent or end-to-end modules to support clients' current infrastructure and needs.
| Reconciliation | Reporting | Analytics | Compliance and Quality Assurance | |
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| Pre-Enrollment |
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| Enrollment |
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| Outbound Enrollment Verification |
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| Creditable Coverage Determination |
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| Member and Provider Services |
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| Grievance and Appeals |
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