SSI Enrollment Advocate

A consumer-centric solution for payers that want to increase revenue and member satisfaction by helping their members obtain financial assistance via Supplemental Security Income.
 

Boost Revenue through SSI Enrollment

Improve member satisfaction and loyalty by helping Medicaid-eligible members receive the valuable benefits to which they are entitled. 

Facilitate financial security for members, adding to their monthly income and creating more secure personal circumstances which can lead to better health.

Help increase Managed Medicaid revenue through retention and increased capitation rates attributed to SSI-eligible members.

Empower Medicaid members through case management, increasing their knowledge while assisting them in claiming their benefits.

Navigate the SSI environment on behalf of members, leveraging our expertise in an often- challenging and confusing area.

Take a data-driven, patient-centric approach to identify, reach, and assist members with obtaining SSI benefits.

An End-to-End SSI Enrollment Solution

Predictive analytics

  • Our market-leading healthcare data analytics capabilities offer a data-driven, patient-centric approach to identify, reach, and assist members with obtaining SSI benefits.
  • To identify eligible members, we use sources that include case management and medical director referrals, and our proprietary disability-scoring model.
  • Our disability-scoring model leverages data created by our health plan customers, particularly on member demographics and claims. This data helps us identify patients most likely eligible for SSI. 

Member engagement and claim submission

  • Our outreach team contacts members targeted for potential SSI advocacy via direct mail or outbound calls, with an inbound-call option available. We then work with members to understand their benefits situation.
  • We assist members determined to be disability candidates with applying for SSI benefits, submitting completed forms to the Social Security Administration and tracking them to resolution.

Follow-up and processing

  • Our team actively follows up with the Social Security Administration and advocates for approval of each member’s  application as it moves through the review process.
  • We only charge for services when members are approved for SSI benefits; denied applications are not invoiced.
  • We only charge for services when members are approved for SSI benefits; denied applications are not invoiced.

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