Eligibility and enrollment solutions for government healthcare programs. We help payers that want to increase revenue and improve member satisfaction by facilitating member enrollment in high-quality programs that help offset many social determinants of health.
Our industry-leading AI predictive model pinpoints with up to 93%* accuracy those individuals that have the highest likelihood of member eligibility to qualify for full or partial dual enrollment. We then provide proactive member outreach and education about program beneﬁts, with experienced associates advocating on behalf of interested and eligible members. From submitting forms to monitoring approvals to appealing denials, we help your members throughout the process from start to finish.
*results may vary by payer plan and member demographics.
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