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Member Support and Engagement

Streamline enrollment, improve member experience, increase efficiency, reduce costs

Member Support and Engagement

25% of all working adults have visited a healthcare marketplace

40% cost savings achievable in effort-intensive areas with digital disruption of administrative functions - such as self-service (member) tools, paperless communication, and sales force automation

36% of health plan members said their health plan acts in their best interest "always" or "most of the time"

25% of health plan members said they view their health plan as a trusted partner in their health and wellness

60% of health plan members said they had not been contacted by their health plan with guidance or information related to COVID-19

Streamline enrollment

Consumers are looking for choices and want an easy way to compare plans, determine if their doctor is part of their network, and understand their premium costs. Self-service automation is the future of health plan enrollment, benefits eligibility, and claim resolution.

Improve member experience

By adapting to shifting consumer preferences for digital and virtual experiences, health plans can help members navigate their care journey from initial enrollment, finding an in-network provider, explanation of benefits, claim status – all while reducing the burden on health plan staff.

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Increase efficiency

Offload call center volume and empower members to find answers to their benefits questions and claims status – while integrating with existing live chat and call center resources for escalation and intervention.

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Increase revenue and reduce costs

By simplifying access to resources such as benefit coverage, tools for out-of-pocket estimates, and appropriate escalation to the right contact for support, a health plan can drive new revenue while reducing costs.

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Orbita Experience Modules

Proactive outreach and conversational campaigns

Engage members through proactive conversational outreach campaigns across the care journey, while reducing member communication costs.

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Thought leadership from Orbita