Our enrollment team caters to about 75000 members as of today. This includes a range of services like processing enrollment, disenrollment and other related transactions. There are also expertise for updating member profiles, working in tandem with our call center team and healthcare agencies to resolve member enrollment and billing issues. All functions are regulated by CMS guidelines and are HIPAA (Health Insurance Portability and Accountability Act) compliant. Prompt service delivery, processing of ad hoc transactions and providing a high end support to the call center are the key result oriented functions provided by this team.

Provisions of critical tools for enrollment are:

• Processing Enrollment/Disenrollment
• Eligibility Interface with Insurers
• Eligibility Interface with CMS and State Medicaid agencies
• Fulfillment of ID Cards and Other Member Materials
• Induction call for New enrollees  
• Tracking of all CMS Special Status Data
• Adjudication of all Monthly CMS, State Membership and Revenue Reports