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Healthcare Payer Services

Health Plan Administration and Customer Care

Sure, today’s health plan administration challenges include items such as eligibility, claim status and benefit applications. But you also need to reach out and engage consumers in this new world of healthcare where customers will be able to freely switch plans starting in 2014.

To navigate the challenging new healthcare landscape, consider calling in a trusted partner to the top health plans in the industry. You can rely on our:

  • Understanding of the market
  • Clinical and consultative expertise
  • Deep experience resolving administrative challenges
  • Ability to improve your Medicare Star Rating
  • Solid customer care engagement models for prevention and wellness programs

We're a leading provider of health plan administration and customer care services. Our 8,000+ dedicated Payer agents provide services that include:

  • Benefits Explanation and Verification
  • Claim Status
  • Complaints and Appeals
  • Disease Management Programs
  • Eligibility Verification
  • Enrollment Processing Services
  • Health and Wellness Programs
  • Licensed agent customer care services
  • Missing/Invalid Information Research
  • Payment and Benefits Explanation
  • PCP Change
  • Product/Services Information
  • Referral Requests and Status
  • Satisfaction Surveys
  • Welcome Calls

We're also a leading-edge provider of call center technology services, including:

  • CallSimplicity - Intuitive interface that simplifies the standard processes agents perform
  • Call Center Analytics - Speech, Text, Data and Predictive
  • Interactive Voice Response (IVR)
  • State-of-the-Art Computer Telephony Interface (CTI)
  • Customer Relationship Management (CRM)
  • Advanced Switch/Multiple Platform Integration Solutions

View Licensed Agents Overview (PDF, 625 KB)

1-877-414-2676 
or contact us online

Major Health Insurer

Intelligent claims processing reduces end-to-end cycle time by 75% and annual costs by 50%.

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