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Member Management

Make better decisions by digitizing member management

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About the Service

Transform the member management processes focused on seamless member enrolment and associated administrative services. Our thought leaders enhance operational efficiency in handling health plans by reorienting the health plan lifecycle, including member communication, insurance billing and invoicing, accounts receivables, etc. Intelligent reconciliation processes empower critical finance functions which creates a robust business model and impacts cashflows positively.


Enrolment and Demographics

Update various member information like name, age, gender, date of birth, date of enrolment, date of hire, etc. during the open and annual enrolment period.

Member Maintenance

Perform general administrative services, including addition or deletion of dependents, change in language preferences or address, etc. Any change in plan demographics or coverage is updated within the given TAT.

Eligibility Update

Update eligibility and benefits information available to a member like detailed benefits information, determination of additional coverage to a member, applicable co-pay/co-insurance/deductible amounts, and information regarding the need for a referral or authorization as per the member’s health plan.

Plan Renewal and Termination

Keep all the information updated and within TAT by tracking plan renewals in advance, creating automated reminders, sending notices, etc.

Premium Collection & Reconciliation

Provide accurate, complete, and efficient insurance invoicing and billing services.

Experts that made us pioneer!

Experts that made us pioneer!

Ashish KapoorVP - Business Operations

Ashish has over 20 years of experience in strategic insight, business development, service delivery, change management and strategy formulation. He is currently responsible for Business Development for Healthcare, Insurance, and F&A services.

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