Solutions / Health Plans / Eligibility & Enrollment
Eligibility and Enrollment
Agility without cartwheels
With customers acquired, the focus shifts to getting the membership into the system. This is where administrative gymnastics are often needed. New business often requires new conditions, sometimes with characteristics unique to the account. How do you handle these challenges: process by hand or modify your systems?
Fortunately, Corticon provides a third option. Using Corticon Studio, your Subject Matter Experts can implement new rules to handle any case that Sales has created.
- Plan Configuration
- Link marketing products to actual benefit configurations on the fly
- Update claims management database tables directly from rules
- Manage state mandates and network exceptions across the enterprise
- Eligibility and Enrollment
- Quickly adapt to changing conditions
- Offer “custom” services to smaller clients without losing control
- Reduce lead time for new group setup from days to seconds
- Renewals
- Manage your renewal processing with automated rules to get the offers out on time
- Stay in compliance, reward the right customers, and generate the correct offer
- Notifications
- Trigger notifications for student status, life events, HIPAA changes, etc.
Eligibility and Enrollment Solution Benefits Summary
- Respond to customer needs with minimal service disruption
- Control your business with proper enforcement of policies, guaranteed
- Streamline processes and lower costs to set up complex accounts
Related Products:Corticon Business Rules Modeling Studio, Corticon Business Rules Server, Corticon Dialogs
Additional Corticon Healthcare Solutions: Offer Management, Claims Processing and Recovery, Marketing, Policyholder Servicing and Compliance ,Sales and Underwriting
To speak with someone at Corticon, please contact us here, call us at +1 888.619.2424 or email us at info@corticon.com.
