- If the member or dependents are covered by an active policy or plan
- If the member or dependents needs to be enrolled
- If the member and dependents’ opted coverage has a valid coverage period to enroll
Our member enrollment services reduce the administrative burden and cost to support member enrollment processes. Our eligibility and benefits configuration, backed by our knowledge-based platform, addresses the recurring industry problems with inaccurate benefits configuration. Utilizing this leads to a reduction in improper claim payments and a decrease in appeals and grievances.
Ellipse Technologies manages the eligibility and enrollment process for our clients, including the verification and determination of each member's coverage to help automate the process and free up necessary resources.
Ellipse Technologies ' skilled team of subject matter experts manages the eligibility and enrollment process for our clients, including the verification and determination of each member's coverage specificity. Delegating this task to Ellipse Technologies allows your organization to free up resources and concentrate on core business functions that optimize internal operations.