HEALTHCARE SOLUTIONS
Teleservices for Healthcare
Services We Offer
Pre-Enrollment Services:
- Benefits explanation
- Correct plan determination
- Drug coverage questions
- Pharmacy/provider look-up
- Information requests
- Lead generation
- Appointment setting for field salesperson
- Seminar and community meeting registration
- Webinar
- Income subsidy level validation
Enrollment Services:
- Licensed agent support
- Broker enrollment calls
- Telephonic enrollment
- Plan change requests
- Disenrollment requests
- Enrollment verification
- Broker tech support
Member and Provider Services:
- Application status
- Vision benefits explanation
- Durable medical equipment support
- Skilled nursing facilities inquiries
- Check re-issues
- Pre-certification
- Prior authorization
- Pharmacy support
- Multi faceted claims support
- Member eligibility support for providers
- Premium billing support
- ANOC support
Outbound Services
- Scope of appointment
- Reminder and follow-up calls for seminar or community meeting reservations
- Enrollment verification calls (all plan types)
- Welcome calls
- Pre-enrollment kit request follow-up
- Disenrollment survey
- Provider outreach
- Prospect lead generation
- Retention calls
- Verification of disease state
- B2B lead generation
- Renewal enrollment reminder calls
- Missing information outreach
Data Entry/Fulfillment
- Pre-enrollment material printing
- Pre-enrollment packet assembly and mailing
- Remove from mailing list request / Return mail processing
- Pre-populated letter printing and mailing
- BRC processing
- Enrollment form processing
- Provider outreach form processing
- Broker certification and credentialing
Technology Support
- Seminar/community meeting registration system
- Website and webpage development
- CRM creation
- Enrollment web page creation and management
- Request for information web page
- PDF creation
- IVR
- Web chat
- Recording and data storage
- Automated outbound
- Flexible technology platform
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