Benefits CRM

Centralized platform to support our Member Experience Advisors
in providing the highest quality call center support.

Member Experience Advisors, our highly trained service professionals, use the
Benefits CRM as a centralized platform to provide support for all benefits in one call.
Member Experience Advisors
key Features
Eligibility information
Eligibility information

Eligibility details are presented to MEAs in a clear and concise format.

Eligibility information
Real-time benefit information

Real-time benefit information helps agents understand and address the member's current needs.

Critical resolution actions
Critical resolution actions

Critical support actions are available in a seamless interface for fast resolutions.

Eligibility information
Actions are logged

Actions are logged for future analysis, enabling a holistic approach to member care and improved first-call resolution.

Centralized Access to Care

Benefits Pro Portal
Provider Portal
Meals Portal
Agent Portal

Member Call Experience

1
Members call the customer support number provided on their Flex Card or member materials.
2
Our call center system will identify the health plan using the phone number and route the call to Member Experience Advisors trained to the specific health plan programs.
3
Member Experience Advisors will access the Benefits CRM, and after validating the member, will be able to pull up all eligibility and benefit information.
4
The Member Experience Advisor will be able to efficiently solve all member issues through actions available in the Benefits CRM.
Member Call Experience

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Get in touch with our team now and allow us to assist you in improving health outcomes.

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