Experts on call 24/7/365

With unrestricted access to our healthcare subject matter experts, you can be confident that the latest industry best practices are used in each step of your custom solution delivery model.

And, from responding to inquiries to designing social determinants of health strategies, our healthcare teams will help you engage and retain members while reducing administrative costs and operational logjams.

We also manage claim and third-party billing inquiries and quarterly attestation to ensure your team can focus on what it does best. We will work closely with you to enhance the value of the member, provider and administrative operations.

Customer service expert

65%

Increase in efficiency for bilingual member/patient support

20%

Boost in prescription adherence

5 Days

Reduction in wait time for referral appointments

60%

Lower data management costs

Nurse taking care of elderly people
Businesses we serve:

Managed care payers

  • Medicare Parts C and D
  • Medicaid
  • Dual eligible special needs plans (D-SNPs)

At-risk providers

  • IPAs
  • Medical groups
  • Hospitals

TPA and vertical partners

  • Pharmaceutical benefit managers
  • Healthcare technology firms
  • Telemedicine

We offer comprehensive healthcare administration solutions, including:

  • Bilingual contact center
  • Member
  • Provider
  • Third-party billers
  • Portal support
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Cropped shot of a handsome mature male doctor talking to a female patient in the hospital corridor

Commercial/administrators

  • Licensed remote staffing
  • Provider data management
  • Provider services
  • Member data management
  • Member services

Managed care payer

  • Licensed remote staffing
  • Provider data management
  • Provider services
  • Member data management
  • Member services
  • Star rating and quality initiatives

 

Provider

  • Patient intake
  • Revenue cycle management
  • Pay-for-performance solutions
  • At-risk administrative solutions
Male doctor and nurse with clipboard talking in hospital lobby