Automate and streamline Group lifecycle management with eGroupEnroll™

Reinvent group setup, simplify the onboarding and enrollment process with intelligent operations. Grow the number of customers faster while reducing group service duration efficiently.

Industry Challenge

  • Group onboarding and enrollment data stored in Excel grids, Word files, and email trails
  • Different teams and departments having their own versions

Impact

  • Data inaccuracies
  • Unsatisfactory Group experience
  • Decreased sales

Our Solution

  • Creates a single source of truth for Group data
  • Consolidates all the new and existing group information, including Group setup, membership, and broker information, in one place
  • Improves accuracy and accessibility

Industry Challenge

  • Membership, enrollment, onboarding, claims, billing, and other teams involved in client lifecycle management operating in silos
  • Communication or collaboration happening over emails

Impact

  • Inconsistency across departments
  • Reduced operational efficiency

Our Solution

  • Engages all internal as well as external stakeholders via integrated use-case-specific workflows
  • Boosts collaboration between Payer, Group, and vendor teams
  • Enables incremental Group enrollment with inputs across teams

Industry Challenge

  • Manually managing key events for hundreds of clients
  • Manually tracking contract renewal and expiry dates

Impact

  • Delays in addressing events such as contract renewals
  • Negative impact on client or vendor relationships
  • Suboptimal business outcomes

Our Solution

  • Enables event automation
  • Automates notifications about upcoming contract renewal dates, expected data changes, external integrations
  • Improves timeliness and simplifies reporting

Industry Challenge

  • Group setup data is manually collected
  • Back and forth between internal and client (Group) teams

Impact

  • Inefficient and error-prone process
  • Group frustration
  • Business opportunity loss

Our Solution

  • Automates client onboarding and enrollment
  • Eliminates back and forth between the payer and the Group

Why eGroupEnroll ?

We are helping Payers, TPAs, and ASOs revolutionize group lifecycle management and deliver quality service in a few clicks.
Speed to Market
100%
Data Reusability
70%
Errors
90%
Admin Costs
75%

Choose an end-to-end solution or select modules to solve specific pain points

Our Group setup, onboarding, and enrollment solution can be molded according to your business. Select from our integrated modules that suit your business to address pain points and maximize investments.

Integration of other solutions with eGroupEnroll™ ecosystem

eClaimsEngine™ – Our claims configuration solution, integrates as a component of eGroupEnroll™ to configure your Group data at one place with intelligent decision support, eliminate repetitive data entry into Core-Admin and other systems, keep your claims system up to date, and automate the maintenance of your Group setup data configuration.
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eSalesEngine™ – Our sales enablement solution integrates as a component of eGroupEnroll™ to enable Payers to quote and sell while building benefit plans by minimizing back and forth between product and sales teams.
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Listen to Our Customers

''eGroupEnroll™ has improved operational effectiveness of every department involved in the end-to-end Group lifecycle management. It has enabled us to more effectively collaborate with Groups and vendors.''
— Senior Vice President, Customer Group
''Simplify Healthcare standardized our Group data and established a single source of truth for it. This has improved Group data accuracy for us and enhanced productivity of our sales, enrollment, claims, and customer success teams.''
— Group Director, Small Sales
''Creating a single source of truth for managing Group data is helping us deliver customer service excellence. Not just onboarding and enrolling Groups but managing their lifecycle end-to-end has become streamlined for us.''
— Group Account Manager, Small Renewals & Specialty Sales

Frequently Asked Questions (FAQs)

Here are the answers to the most frequently asked questions about implementing end-to-end Group setup, onboarding, and enrollment solution and partnering with Simplify Healthcare.

1. What is Group lifecycle management?

The Group setup management manages client information, onboarding, and enrollment process while ensuring that new Groups or changes to existing Groups can be delivered efficiently and accurately. The process includes the setup of groups, membership/enrollment, broker information, and other related 3rd parties.

2. What are the challenges with the traditional Group setup processes?

Manual and traditional Group setup management processes can create issues such as last-minute rush, inaccurate data due to information spread across multiple sources and formats, insignificant errors, and overall operational inefficiency. Since downstream systems require Group-specific information, maintaining this manual setup often leads to inaccuracy or out-of-date information residing in your critical systems, creating potential client satisfaction issues.

3. Why use a group setup and management solution?

With our group lifecycle management solution, eGroupEnroll™, Payers and TPAs can easily capture group setup information, including but not limited to ASO setup, ASO fees, performance guarantees, group setup, vendors, etc. The automated solution consolidates information in one place while ensuring accurate plan design, group support, and integration of their 3rd party relationships (e.g., PBMs, vendors). Health Plans and TPAs can now more rapidly setup groups and ensure that new groups or changes to existing groups can be delivered quickly and accurately.

4. What kind of information can be captured/managed with an automated Group setup solution?

With eGroupEnroll™, Payers and TPAs can flexibly capture all types of client setup information:

  • ASO setup
  • ASO fees
  • Performance guarantees
  • Group setups
  • Vendors

They can also annotate and track regulatory and business communication content changes from a single source of truth.

5. How can you automate group setup and management?

eGroupEnroll™ is a cutting-edge single source of truth solution enabling Health Plans and TPAs to rapidly setup clients while ensuring that new clients or changes to existing clients are delivered quickly and accurately. It consolidates all group set up information into one place and creates a single source of truth. Once configured, the ongoing maintenance of group information and future clients’ addition becomes much easier to manage. Additionally, since this information is centrally stored, it can be integrated into downstream systems to ensure that they always have current and accurate information.

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Simplify Healthcare launches eGroupEnroll™, an end-to-end client set up solution for Health Plans

Simplify Healthcare, a leading healthcare technology solutions company providing robust end-to-end solutions for Health Plans, announced the launch of its new solution, eGroupEnroll™.

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