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features
design
support

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Description

Enhanced member communication strategies are essential for boosting engagement with key initiatives to produce quantifiable outcomes. The Accelerate Member Engagement (AME) platform developed by Clarity enabled a national health plan to realize a remarkable 75% boost in engagement rates by utilizing specially designed stickers on member ID cards. The significant amount of time individuals dedicate to reading direct mail from their health plans highlights a substantial opportunity to use print communications as a means to foster engagement. Clarity offers top-tier SaaS solutions and advisory services aimed at improving the effectiveness of ID cards, explanation of benefits (EOBs), member guides, and various other correspondence throughout the member lifecycle. These improvements are instrumental in driving higher participation rates in crucial member activities and benefits, such as registrations for online portals, chronic condition management programs, telehealth consultations, and mail-order prescription enrollments. Engaging members effectively is vital for the overall success of health plans, as it directly influences their ability to deliver quality care and services. Ultimately, by leveraging innovative communication tools, health plans can significantly enhance member satisfaction and health outcomes.

Description

HM Health Solutions offers a comprehensive end-to-end solution designed specifically for health plans. With the Enterprise Health Solution, you can obtain the necessary support and achieve the desired business outcomes from a singular, integrated health plan administration platform. This suite of applications and tools oversees a wide range of functions, spanning from sales and enrollment to billing and claims, along with provider and clinical management, as well as customer service. The Enterprise Health Solution (EHS) stands out as the sole verified end-to-end solution that ensures a smooth transition for members from the enrollment stage all the way to claims payment. While other providers may assert that they deliver a fully integrated solution, they often fail to clarify that this may require the sequential purchase of multiple modules to realize true integration. In contrast, the Enterprise Health Solution maintains a singular focus on health plan administration, ensuring that our expertise in the payer space is unmatched. Consequently, when you choose EHS, you are opting for a platform that prioritizes your health plan’s unique needs and operational efficiency.

API Access

Has API

API Access

Has API

Screenshots View All

Screenshots View All

Integrations

Blue Triangle

Integrations

Blue Triangle

Pricing Details

No price information available.
Free Trial
Free Version

Pricing Details

No price information available.
Free Trial
Free Version

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Deployment

Web-Based
On-Premises
iPhone App
iPad App
Android App
Windows
Mac
Linux
Chromebook

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Customer Support

Business Hours
Live Rep (24/7)
Online Support

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Types of Training

Training Docs
Webinars
Live Training (Online)
In Person

Vendor Details

Company Name

Clarity

Country

United States

Website

clarityssi.com

Vendor Details

Company Name

HM Health Solutions

Founded

2014

Country

United States

Website

www.hmhs.com

Product Features

Product Features

Claims Processing

Adjustor Management
Case Management
Claim Resolution Tracking
Co-Pay & Deductible Tracking
Compliance Management
Customer Management
Electronic Claims
Forms Management
Paper-Based Claims
Payor Management
Policy Administration

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