We work with health plans, hospital systems, TPAs, MSOs, FMOs, and other solution providers.
How can we help you?
We customize solutions for your needs. Here's an example of how we've scaled operations for Physician Liaisons at health plans, hospital systems, and TPAs.
Lead Development and Mapping App for MSO
Increase in new provider contracts in first year
Double PCP network to increase membership
Built GIS-enabled application integrated with Salesforce to help prospect, recruit and track physician
Delivered application on time, adoption of all internal users, >250% increase in new provider contracts in first year.
Provider Portal for TPA
Reduction in phone calls and email inquiries
400% improvement in past due payments
Reduce ever-increasing call and email volume of providers making inquiries for claims and
payments and decrease the number of past due claims payments.
Custom, web-based provider portal syncing with EHR.
95% reduction in phone calls and email inquiries resulting in reallocation of employees to
higher value tasks and increased provider satisfaction. Past due payments improved from 25%
to less than 6%.
Broker/Agent Portal for Health Plan
Electronic member applications during open enrollment
Increase membership through more efficient agent management system.
Delivered agent certification, training, and electronic member application in time for
All agents electronically certified, 405 electronic member applications during OE and
expanded agent network by 202 agents.
Commission Module for Health Plan
35 to 10
Reduced agent commission processing time from 35 days
to 10 days
Improve commission accuracy, timeliness, and deliverability to improve independent agent satisfaction.
Delivered custom commission system in 3 months, fixed erroneous legacy data, integrated a 3rd
party system, and fully deployed within 3 months.
Reduced completion time from 35 days to 10 days, reduced staff burden from 80 hours per month
to 8-12 hours, reduced error rate from high single digits to less than 1%, and increased
broker/agent confidence in commission payments.