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.
See how we assist Medicare Advantage health plan members.
*results may vary by payer plan and member demographics.
A consumer-centric solution for payers that want to optimize revenue and member satisfaction by helping members obtain and retain added benefits through dual eligible enrollment and recertification services.
A consumer-centric solution for payers that want to facilitate member enrollment in Medicare Part D and high-quality programs that help offset many social determinants of health.
FACT SHEET
Proactively Renew Dual Eligibles for Medicaid
Learn how Recert Complete® uses state-specific knowledge, empathetic advocates, and AI to successfully keep your members dual-enrolled.
FACT SHEET
Meet Member Needs to Drive Improved Health Outcomes
Community Advocate supports risk, quality, and retention initiatives by addressing social determinants of health through community program enrollment.
BROCHURE
Eligibility & Enrollment with Member-Centric Engagement
We help you improve your members’ quality of life. Our member-centric approach is designed to enhance loyalty while helping you increase revenue.