Member Enrollment & Member Management

Medical Claims & Adjudication

Member Enrollment & Member Management

Members of your patient network will predictably move from one status to another: healthy to sick, active to off-the-radar. Member management involves enrolling new members in health insurance plans and handling changes in information for existing members.

You need to make available the necessary tools for them to engage your organization when they need or want to, at the level of engagement that they require—and ADEC Innovations Healthcare has the tools you need.

Common tasks related to member management include:

  • Managing endorsements of insurance policies
  • Handling grievances and complaints
  • Managing records: capturing, storing and retrieving member data
  • Tracking patterns in common problems encountered