Edifecs Enrollment Management: Delivering Flexibility and Control

Enrollment management is a complex and precise process, and to do it right, many health plans rely on manual workflows. But those workflows are often difficult to scale, especially when there’s so much customization required for each of the plan’s customers.

A private not-for-profit health insurance organization in the Mid-Atlantic region was struggling to efficiently transmit enrollment data. The plan recognized that their business and operational needs were changing: they needed to be more flexible and customizable, and they weren’t convinced their previous vendor could meet those needs.

In this case study, we take a look at how the Edifecs Enrollment Management solution helped the plan enhance their enrollment capabilities, reduce data management overhead, streamline member onboarding, and achieve a projected five-year ROI of $19.5 million.

Read the case study here.