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With tightening margins and changing consumer expectations, modern health plans have the unique opportunity and incentive to reimagine the future of care delivery.
Our rich consumer engagement expertise and strong analytics capabilities enable in-depth visibility into individual care needs and utilization patterns across provider settings. This, in turn, allows us to proactively identify friction points early in the journey – mitigating downstream impact and making it easy for providers to work with you.
At the same time, our outcome-driven utilization management services integrate better with providers, accelerating pre-authorization, prioritizing necessary services, and improving access to care.
Simplify life for members – from membership verification to coverage status, preauthorization requirements, and claims/appeals status.
Streamline the end-to-end patient referral and authorization process. Gain actionable insights to improve care coordination.
Drive self-service and best practice adoption, showcase opportunities to improve efficiencies, and reduce costs. Improve care management and directory management.
Our trained advocates take a resolution-centered approach to fix claims, billing issues, grievances, and appeals quickly and accurately – boosting member and provider satisfaction.
Seamlessly support member queries across channels. Whether it’s phone, fax, or online portals, simplify interactions and create a frictionless journey.
Play an active role in your members health using a holistic approach. Enable appointment reminders and support for dental, vision, flex cards, transportation and so much more.
Over 30 years of CX experience across multiple industries
KPI-driven delivery for consistent and measurable quality and exceptional CX
Flexible and scalable engagement model to identify issues, analyze CX challenges, and collaborate together
End-to-end expertise across hiring, training, operational execution, and workforce management
