Eligibility & Enrollment

For 35 years, we have been a trusted partner for increasing revenue and cost of care savings for health plans, while adding Medicaid and Medicare Eligibility & Enrollment life-enhancing benefits to members’ lives, such as Disability and Dual Eligibility & Enrollment (SSI/SSDI) Patient Outreach Solutions.

Best Benefits — Disability Eligibility

We are the nation’s leader in SSI eligibility and enrollment for Medicaid Managed Care Plans. Each year, we reveal nearly $1.3 billion in health plan revenue and member payments and resources.

PremiumAssist — Dual Eligibility Enrollment

We also lead the way in dual eligibility outreach, enrollment and redetermination services for Medicare Advantage Plans and redetermination services for dual Special Needs Plans. Our proactive retention strategy reduces traditional fall-off rates by half.

Analytics

One of our differentiators? Our predictive analytics models, which identify and locate up to eight times as many members as our competitors. Industry-leading targeting algorithms deliver member-level precision targeting based on a combination of clinical and non-clinical conditions coupled with deeper machine learning methods.

Continuously advance your knowledge of your membership population with our robust data sets.