Modernize your enrollment management
Simplify and streamline enrollment management processes to capture a greater market share across all lines of business.
Traditionally, many plans manage member enrollment through manual processes across disparate systems for different lines of business, which hinders growth and increases costs. Edifecs’ SaaS-based Enrollment Management solution consolidates these systems through a modern, centralized hub to enable the orchestration of fragmented enrollment data streams for all lines of business.
Edifecs Enrollment Management offers a variety of features, including a configurable and expandable rules library, automated routing and error correction, financial reconciliation, and the ability to customize transaction data for downstream systems. Our solution helps health plans gain new visibility, maximize operational efficiencies, and improve onboarding times—all while safeguarding revenue.
Simplify and streamline enrollment management processes to capture a greater market share across all lines of business.
There are a variety of challenges that can impact payers’ enrollment management operations, including:
Manually managing enrollment data requires a significant investment of time and resources. In addition, manual workflows are more likely to lead to errors, which create processing delays, slow enrollment times, and negatively impact the member experience.
By leveraging AI to highlight errors for manual review and perform batch error correction, health plans can significantly reduce administrative workloads and deliver much-needed support to their administrative teams.
The right technology solution can help health plans overcome their biggest challenges in enrollment management. When evaluating potential enrollment management solutions, health plans should consider five key factors:
For a deeper dive into the keys to selecting an enrollment management solution, read our blog post on the topic.