Health Plans

Support Programs

Inbound and Outbound Call Programs to Support Your Objectives.

From improved HEDIS and NCQA metrics reporting to enhanced patient and member satisfaction.

IntelliCare has the experienced staff and flexible application technology to support a wide variety of customized clinical and non-clinical outbound calling programs. From new member welcome calls to telephonic health risk assessments, IntelliCare can manage all aspects of the outbound campaign. Our data driven environment allows for detailed reporting and call monitoring capabilities.

Inbound Programs

  • Health Assessments
    Whether we provide initial assessments as a part of a Customized Care Management program, or a health risk assessment to assist in garnering important information about a population quickly, IntelliCare has the capability to meet your assessment needs.

  • Enrollment Services
    Enrollment for health plans and disease management programs is one of IntelliCare’s fastest growing services. Based on client-defined criteria, IntelliCare can identify candidates for program intervention, explain the program and its benefits, and perform an initial enrollment survey if the patient agrees to participate.

  • Audio Health Library
    Client’s can provide access to an audio library of health information from an industry-leading vendor, Healthwise®. Available 24 x 7, callers can learn about a condition or diagnosis and gain a better understanding of appropriate care, with the option to speak with a nurse to discuss any remaining questions.
  • Member Services
    IntelliCare provides a variety of 24 x 7 member services functions. Specially trained Medical Service Representatives can address common questions related to available services, provide directions, and direct members to resources. By integrating with our client’s benefit applications, our agents can provide eligibility verification, respond to benefit inquiries, and distribute member materials.
  • Web Portal
    IntelliCare offers access to a health information portal that assists members in becoming more empowered in their healthcare decisions. The site provides convenient links to federal health resources, such as MEDLINEplus and www.clinicaltrials.gov, with up-to-date, reliable information about specific diagnosis and procedures, drug information, clinical trials, senior health, and women’s health.

Outbound Programs

  • Automated Voice Services
    As a full-service call center, IntelliCare employs a variety of technologies that complement our more traditional service methodologies. We use Automated Voice Services to provide a lower-cost but professional solution for programs where this technology makes good sense.
  • Custom Outbound Calling Programs
    From new member welcome calls to telephonic health risk assessments, IntelliCare has the experienced staff and flexible application technology to support a wide variety of customized clinical and non-clinical outbound calling programs. Our data-driven environment allows for detailed reporting and call monitoring capabilities.

  • Member & Patient Satisfaction
    IntelliCare can provide personalized member and patient satisfaction surveys.

  • Member Communication Services
    IntelliCare supports our clients with complete member communication services. From concept to design, to print and fulfillment.


Interested in finding out more?

If you would like more information about IntelliCare and our Custom Programs, please contact us today!

 

 

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