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HiPaaS

Streamline the Enrollment Process

  • Simplify enrollment for new and existing members

  • Automate workflows including ID card generation and distribution

  • Reduce administrative burden and ensure a smooth enrollment experience

  • Save time and minimize delays and errors

  • Ensure timely and accurate benefit information for members

Inbound 834

• Manage all inbound 834 claims from various sources • Configure custom 834 formats to meet specific needs • Validate claims at levels L1-L7 and send 999 acknowledgments • Utilize AI for automatic corrections • Ensure data accuracy and efficiency

Outbound 834

• Generate accurate and compliant outbound 834 files • Receive and reconcile 999 acknowledgments • Confirm successful transmission and processing • Ensure smooth communication and data exchange with trading partners

834 Audit, Full File, & Daily File

• Compare full audit files with membership records before processing • Identify differences such as PCP changes, demographic updates, and more • Resolve data issues before loading to membership • Ensure data accuracy and integrity across all member records

Our AI Agents can simplify your member enrollments, eligibility and prior authorization workflows. This includes rule engines for easy loading of enrollment files and integration of prior authorization to your eligibility and claims to minimize rejections.

Transform Your Enrollment Process with HiPaaS

user-friendly member portal on various devices

Request Information - MemberVal

Healthcare Membership and Enrollment Platform

HiPaaS can enhance your membership engagement including intake and benefit assignment to member portal integration

personalized member portal dashboard displaying benefits, claims, and health information

Seamlessly Manage Member Data and Enrollment Status

  • Efficiently manage member data and enrollment status

  • Handle intake and benefit assignments

  • Ensure accurate and up-to-date information

  • Reduce errors and improve data integrity

  • Enhance overall member satisfaction

Provider Portals with Real-Time Access

  • Provide healthcare providers with easy access to member information

  • Tools to manage provider-member interactions

  • Enhance communication and coordination

  • Improve patient care and provider satisfaction

  • Support better decision-making with real-time access to critical data

Member Portal Integration

  • Integrate with member portals for a seamless experience

  • Allow members to access information and manage benefits

  • Provide self-service capabilities for improved engagement

  • Keep members informed and connected

  • Enhance member satisfaction

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