Eligibility and Enrollment: Convenient User Experience on Front-End, Reconciliation Automation and More on the Back-End
Simplify insurance enrollment, through leading practices and modular products, enabling you to choose the solutions you need without paying for what you don’t.
Reduce administrative burden by routing your enrollment through a proven process that seamlessly connects with your other systems.
Convenient User Experiences
Improve the consumer experience, making critical information for health plans accessible and increasing user satisfaction with the following features:
- Ability to select multiple plans for a side-by-side comparison
- Display all plan details including product ratings and literature.
- Robust rating engine supporting standard and composite rates
Help consumers make informed decisions by narrowing the list of available plans with various filters:
- Provider’s coverage
- Prescription drug coverage
Automate reconciliation between issuers and exchanges through accurate, bi-directional data transfers. Integrate federal and state exchanges with all downstream claims and ancillary platforms. Connect to any existing state ecosystems for a seamless transition.
Enhanced Direct Enrollment (EDE):100% of Enrollment Scenarios Covered
Remove competitors from the shopping experience with our Phase 3 EDE solution.
Keep the consumer in front of your brand during the entire application or re-enrollment process.
Determine eligibility for the Advanced Premium Tax Credit without leaving your site
Plan Catalog: Simplify and Automate to Reduce Human Error
Reduce data entry redundancy by utilizing a single repository for plan data.
Streamline Catalogue Curation
Load and access your entire product offerings on a single, intuitive, API-enabled platform
Streamline plan catalog upload with industry-standard file format compatibility
Store all documentation associated with your products for easy recall by members during shopping and account management
Free resources by allowing us to manage all backend rule configurations to determine and process ongoing status