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Member Onboarding

Powered by AI, perfected by people: Seamless member onboarding for health plans

Talk to an expert

Streamline the member onboarding journey

Unlock a frictionless onboarding experience that delights new members and drives long-term loyalty. ResultsCX combines advanced AI automation with empathetic human concierge support to streamline every step of the onboarding journey, reducing escalations, accelerating enrollment, and ensuring compliance at scale. Our proven approach helps you exceed acquisition goals, lower operational costs, and deliver the personalized experiences today’s members expect.

Contact us today

Member onboarding services

Member acquisition

Attract and convert more members with AI-powered outreach and engagement. Our chatbot, Olivia, has handled over 4.2 million interactions, helping clients surpass enrollment goals by 110% and achieve a 35% conversion rate for top health plans.

Query resolution

Deliver fast, accurate answers to new member questions - whether about benefits, coverage, or next steps. Our AI chatbots and expert agents resolve queries in real time, reducing confusion and eliminating onboarding friction.

Eligibility

Accelerate eligibility verification with automated tools that minimize manual work and errors. We ensure every member is onboarded quickly and compliantly, so you can focus on growing your plan, not chasing paperwork.

Enrollment

Streamline the enrollment process with seamless digital workflows and expert support. ResultsCX helps you achieve up to 110% of enrollment goals, reduce member escalations by 54%, and deliver a 13% boost in satisfaction - all while maintaining strict compliance.

Renewals

Keep members engaged and loyal year after year. Our proactive outreach and automated reminders make renewals effortless, reducing churn and maximizing lifetime value.

ID cards

Ensure new members receive their ID cards quickly and accurately. Our integrated fulfillment solutions eliminate delays and support a positive first impression, setting the stage for a lasting relationship.

Why ResultsCX?

54% fewer member escalations

13% higher satisfaction scores

21% less friction across the member journey

Proven ability to scale for AEP/OEP and beyond

ResultsCX healthcare solutions: Frequently asked questions

How does ResultsCX improve member onboarding for health plans?
We streamline each phase of onboarding - covering acquisition, eligibility, enrollment, and ID card delivery - through AI-driven automation and skilled advocates. This results in 110% of target achievement, a 54% reduction in escalations, and a 13% increase in satisfaction scores.
Can ResultsCX help us scale during AEP/OEP?

Yes. Our proven operational model and AI-powered recruitment enable rapid scaling for peak enrollment periods, securing over 30,000 licenses in previous seasons and exceeding AEP/OEP conversion goals.

How do you ensure compliance during onboarding?

Our dedicated CMS Task Force and compliance teams monitor every process, leveraging AI for fraud detection and ensuring all regulatory requirements are met.

Ready to transform your member onboarding?

Schedule a Consultation
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