Solutions Exchange

Enroll, Manage, and Retain Your Exchange Members

Expand your exchange membership using mPulse’s powerful technology and industry-leading marketplace solutions.

Accomplish Your Goals with Innovative Technology

  • Don’t Lose Members to the Competition Sending consumers to another site for enrollment can be costly. Keep them out of a competitor’s reach with our EDE Phase III Enrollment module.
  • Trusting Your Member Data Inaccurate data leaves money on the table. Have confidence in your member data with the control tools built into our Eligibility module.
  • Increased Retention Inaccurate billing and coverage information leads to frustration. Send timely and accurate messages to increase satisfaction and renewals.

Empower Your Exchange Consumers

  • Provide a quick assessment to determine if a consumer’s income qualifies for a tax credit or cost-sharing plan.
  • Leverage a guided plan shopping tool to help consumers determine the plan that best meets their unique needs.
  • Implement an easy-to-understand, painless, and user-friendly enrollment and payment process.

Industry Challenges

0 %

of members with Marketplace coverage found it somewhat or very difficult to find a plan that meets their needs

0 %

marketplace enrollees said it was either very or somewhat difficult to complete the application or enrollment process

0 %

said it was either very or somewhat difficult to figure out if their income qualified them for financial assistance

SOLUTIONS

Solving Your Most Pressing Exchange Challenges

  • ELIGIBILITY & RECONCILIATION
  • SHOPPING & ENROLLMENT
  • PREMIUM BILLING
  • MEMBER MANAGEMENT & RETENTION
ELIGIBILITY & RECONCILIATION

Setting the Stage for Happy Customers

  • Identify and correct eligibility data errors via automated work queues, generating an alert for human review when needed.
  • Maximize your RCNO match rate, get accurate APTC payments from CMS, and reduce unbilled premiums or payment of ineligible claims.
  • Keep your staff synced to the latest activity with access to each member’s history in a modern, easy-to-use dashboard.
SHOPPING & ENROLLMENT

Shopping Made Simple

  • Skip the healthcare.gov redirect and support exchange-based enrollment on your website through Enhanced Direct Enrollment Phase III integration.
  • Help consumers determine whether they qualify for tax credits or cost-sharing plans and match them to the plan that best fits their needs.
  • Take the pain out of application forms with our user-friendly and mobile-responsive interface.
PREMIUM BILLING

Get Your Premiums Paid Sooner

  • Integrate billing and enrollment modules with built-in insurance-specific logic to handle adjustments and ensure data alignment.
  • Leverage accurate invoicing and unique billing tools to manage the exchange market and handle the ins-and-outs of premium tax credits.
  • Turn on partial payments, set minimum payment thresholds, and more with tailored rules designed to meet your needs.
MEMBER MANAGEMENT & RETENTION

You Work Hard to Get Your Members. Let’s Keep Them Retained.

  • From life events to renewals, get best-in-class member maintenance functionality for members, agents, and your support team.
  • Deploy digital programs such as member onboarding and preventive screenings to help members manage their health.
  • Retain members through ongoing digital touchpoints and helpful tools, so they are engaged when it’s time for re-enrollment.

CONTACT US

Take the First Step

Ready to revolutionize health journeys for your population? We’d love to speak with you. Fill out this short form and we’ll be in touch.

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