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.
