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
DialAmerica - Healthcare Solutions



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