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Group Enrollment

The intricacies of group enrollment can be difficult to manage. Navigating multiple unique enrollment platforms is challenging, and the lack of uniformity, visibility, and control only increases the complexity of problems and makes it harder to scale. This can lead to a poor member experience, errors, and inefficient manual workflows —which hinders health plans’ ability to grow their business. 

Edifecs Enrollment Management solution for health plans’ commercial group line of business makes it easier to handle these challenges. With visibility into member transaction histories, access to in-depth dashboards and out-of-box reporting, submissions tracking, and the ability for efficient onboarding and custom configurations, health plans can deliver the enrollment experience their customers and members deserve. 


Better Performance. Better Satisfaction.

It all starts with streamlining your group enrollment processes. We can help.

Member Enrollment Management 1
integrate
  • Process non-standard file formats with minimal manual intervention
  • Cleanse or customize transaction data for downstream systems
  • Utilize enrollment reconciliation and discrepancy resolution workflows

Reduce file intake headaches

Alleviate the challenges of file intake with significantly reduced processing time and increased accuracy.

Enrollment Management Solution 2
align
  • Deliver near-real-time views of member status, enrollment, and transaction activity
  • Reduce onboarding time from days to hours
  • Manage multiple member transactions from one file

Collaborate more effectively

Improve partner satisfaction with greater visibility and control for your brokers and groups.

Enrollment Management Solution 3
accommodate
  • Establish client-specific permissions by role & responsibility
  • Deliver flexibility with a configurable and expandable rules library
  • Streamline “out of schedule” enrollment file uploads

Meet your partners’ needs

No matter what your partners need, we help you deliver it.

Enrollment Management Solution 4
automate
  • Eliminate manual discrepancy identification with automated routing
  • Automate data error correction with configurable logic
  • Allow configurable validations for separate third-party administrator accounts

Minimize manual workflows

Reduce errors with simplified and automated processes.


News & Insights

Flexibility and Control: Growing with Edifecs Enrollment Management
Our Enrollment Management solution helped a large health plan enhance their enrollment management capabilities and reduced manual workloads. See how.
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One Enrollment Hub to Manage All Your Channels
With dynamically changing regulations and legislation around coverage, subsidies, and penalties, health plans must optimize their enrollment operations to be able to respond quickly to such changes, and gain a competitive edge over those who are underprepared.
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Enrollment Management for Commercial Group
A collaborative approach to enrollment effectuation is an untapped opportunity to improving group customer satisfaction and retention rates. Coupled with sophisticated data processing systems, health plans can gain market share while improving financial margins.
Learn More  ❯
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