Member
• Status of claims, benefits, referrals, etc.
• Provider directory assistance
• Update address, dependents, physician, etc.
• Fax, email, mail information or card
• Claim appeal
Provider
• Verify eligibility and coverage
• Check/update status of account, claims, benefits, referral, etc.
• Fax, email, mail information
• Pre-Authorization
• Notify care taker, pharmacy, etc.
Management
• Enrollment
• Sales and marketing support
• Broker quotes
• Satisfaction survey
• Full usage reporting
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