Improving the member experience: Delivering human understandable benefits explanations

Thursday, 10/5/2023
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Simplify Healthcare

A recent study revealed that customers who found their health plans frustrating said they would advocate for the Payer just 17% of the time, and only 27% said they plan to stick with that Payer. In an increasingly competitive marketplace, providing top-notch member experience becomes imperative for Payers, to stay ahead. Payers today need an innovative solution that is quick and easy to implement, seamlessly blends into the existing technology infrastructure, and delivers results.

Introducing Service1, a two-time award-winning intelligent benefits inquiry experience platform for Payers to deliver human understandable benefits explanation by connecting disparate data sources. Powered by Simplify Apps Fabric, Service1, can generate rich benefits content to provide a seamless omnichannel benefits inquiry experience across customer-service (CRM/CSD) and self-service channels including Portals, Chatbots, IVR, and others for all the stakeholders.

Learning Objectives:

• Delivering Benefits Inquiry as a Service, with Simplify Apps Fabric.
• Digital Content Manager generate rich benefits content with user-configurable content rules.
• IntelliSearch AI and NLP-powered advanced search for benefits by English text or codes.
• Build trust in digital engagement by feeding the same human understandable benefits content across channels with Omnichannel Routing Hub.
• Plug and Play power existing customer experience assets with Service1 content/widgets including call center software and portals based on Pega*, Salesforce*, etc., IVR, and chatbots.
• Powerful analytics deliver rich insights based on objective benefits inquiry data and help make smarter predictions.
• Seamless Integration to benefits data sources through Simplify Health Cloud innovative API platform.

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.

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