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|
|Outbound Enrollment Verification|
|Creditable Coverage Determination|
|Member and Provider Services|
|Grievance and Appeals|