Health Plan Client Setup, Onboarding and Enrollment Solution

Simplify client setup, onboarding, and enrollment for healthcare payers and TPAs/ASOs

Manage client information setup, including ASO setup, ASO fees, performance guarantees, group setup, membership, broker information, PBMs, and vendors using automated client lifecycle management solution that smoothly integrates with your existing CRM platform or information system.

  • Consolidate client information, onboarding, and enrollment details in one place.
  • Grow the number of clients while reducing client servicing duration efficiently.
  • Reduce errors, complexities to support business models and processes, risk dealing with clients, and simplify compliance with the ever-changing regulations.

eGroupEnroll™ is an automated client lifecycle management solution to enable smooth client onboarding and enrollment process with a push of a button.

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

Consolidate client setup information in one place

The SaaS-based modular and integrated solution helps consolidate all the new and existing client information, including group setups, membership, and broker information, in one place for easy and quick access.

Reduce errors, inefficiency, and risk in dealing with clients

Simplify the configuration of information, improve speed, accuracy, cost-effectiveness, and streamline processes to ensure members aren’t stuck with inaccurate data because of disconnected legacy systems.  

Accelerated processes with feature-rich functionalities

eGroupEnroll™ is faster to implement and smoothly integrates with your existing CRM platform or information system, reducing compliance and admin cost by up to 75% and increasing data reusability by up to 95%.

Enjoy the intelligent paperless process

Eliminate manual disparate legacy system and drive measurable results with our automated solution enabling healthcare payers and TPAs/ASOs to streamline operations and accelerate speed-to-market by up to 75%.

Why eGroupEnroll™?

Revolutionizing client lifecycle management solution with a groundbreaking intelligence to improve speed, accuracy, cost-effectiveness, and deliver value-added services with just a few clicks.
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Speed-To-Market

Increase speed-to-market up to 75%

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Data Reusability

Increase data reusability up to 95%

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Errors

Decrease errors up to 90%

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Admin Costs

Decrease admin costs up to 75%

Discover how eGroupEnroll™ can simplify client lifecycle management and help healthcare payers and TPAs/ASOs grow clients with a few clicks.

Application Modules

Our automated client setup, onboarding, and enrollment solution can be molded to reflect your business! Scale to new frontiers with our cutting-edge modular integrated solution.
Create single source of truth for your plan data

Take control of your data by managing its configuration and use

Establish a single source of truth to simplify client onboarding, enrollment, and information setup, annotate and track changes for regulatory and business communication content, eliminate Excel grids, automate workflows and routing of information between various teams using .Source
Auto-generate documents to meet regulations

Automate document generation and version management processes

Dynamically capture all types of client setup information including ASO setup, ASO fees, performance guarantees, group setup, and vendors, from a single source of truth. Enable omnichannel re-use of the language and dynamically generate print-ready documents to meet regulations or share your information on web portals or through print with .Docs
Improve claims management accuracy

Simplify configuration of new and existing client setup information

Configure new/existing client setup information at one place with intelligent decision support, eliminate repetitive data entry into Core-Admin and other systems, streamline onboarding and enrolling processes, keep your claims system up-to-date, and automate the maintenance of your product configuration with .Claims
Seamlessly share information across the enterprise

Automate the integration of key benefits data and documents into essential systems

Ensure your single source of truth is integrated everywhere across the enterprise. Seamlessly integrate client information with and from your technology ecosystem via ETL, Web API, Batch files, CRM, Core-Admin systems, Portals (member, Provider, customer service, broker, agent), Rating/Quoting, and MDM using .Integrate

Expose your user-configurable data to standard reporting tools

Ensure your dynamic pristine data is integrated with your Master Data Management investments and is available in real-time to your reporting and business intelligence tools using the relational database format and flexibly capture client setup information using .DataMart
Improve speed-to-market with seamless CRM integration

Sell and quote while customizing your benefit plans

Simplify configuration with the intelligent decision support for sales, product development, and document generation. Get access to all applicable client information, and seamlessly integrate information within your CRM to create a seamless user experience that increases speed-to-market with .Sales

Frequently Asked Questions (FAQ's)

Here are the most common, frequently asked questions about implementing end-to-end client lifecycle management solution and partnering with Simplify Healthcare.

1. What is client lifecycle management?

The client set up management manages client information, onboarding, and enrollment process while ensuring that new clients or changes to existing clients 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 client setup processes?

Manual and traditional client 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 client-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 client setup and management solution?

With our client lifecycle management solution, eGroupEnroll™, payers and TPAs can easily capture client 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, client support, and integration of their 3rd party relationships (e.g., PBMs, vendors). Health plans and TPAs can now more rapidly setup clients and ensure that new clients or changes to existing clients can be delivered quickly and accurately.

4. What kind of information can be captured/managed with an automated client 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 client 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 client set up information into one place and creates a single source of truth. Once configured, the ongoing maintenance of client 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.

Ready to get started with eGroupEnroll™?

Are you interested in learning more about eGroupEnroll™? Our team is ready to answer all your questions. Let’s make smarter health ecosystems together! Schedule a 1:1 demo with us.
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