Eligibility and enrollment solutions for 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.
Transform eligibility and enrollment
Our industry-leading AI predictive model pinpoints with up to 93%* accuracy those individuals that have the highest likelihood to qualify for full or partial dual eligibility 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.
Dual Enrollment Advocate™ & Recert Complete®
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.
Part D Complete™ & Community Advocate™
A consumer-centric solution for payers that want to facilitate member enrollment in high-quality programs that help offset many social determinants of health.