Solutions

Customer Service

AcceleHealth® is a true real-time system in which all data is updated instantaneously so that CSRs have up-to-the-minute information to quickly and easily respond to member inquiries. Rules based security and permissions empower Customer Service personnel with user-friendly and interactive tools for ...

  • Viewing and editing eligibility, claims, demographic data
  • Searching for providers by specialty, geography, demography
  • Calculating past, present or future benefit levels and fees without relying on accumulator "buckets"
  • Viewing plan and clinical rules details used to adjudicate claims
  • Viewing/adding attachments like X-rays, charts, correspondence
  • Viewing actual EOBs and EOPs
  • Order I.D. cards

Seamless integration of enterprise-class workflow and voice response technologies team to create a "hands free" Customer Service operations. Each customer service interaction is tracked so that data can be analyzed to further improve productivity and operational efficiency.

"The company is extremely good at communications on an operational level. Calls and emails are returned promptly and issues are correctly triaged and routed within Healthation to the proper staff."
Preston Gorman
Director of IS
Bluegrass Family Health