HEALTH CARE

Shaping the future of customer experience in healthcare. Technology innovation, tightening regulations, and shifting expectations are forcing the reimagination of healthcare. We power billions of customer interactions every day, helping you keep pace with changes and transform your CODE METRIC—so that it’s just as suitable and modified as the best consumer brands people love. For better care, happier members and patients, and better health outcomes.
Healthcare Payers
Unlock new and better ways to drive member loyalty and growth. Providing you with the right tools and strategies to help you understand what makes your members happy and how to keep them contented through every stage of the member lifecycle—to go beyond expectations, build strong faithfulness, and grow your income.
What We Do
Medicare Growth
Boosting your plan’s Star Rating and growth through complete member management solutions, spanning marketing and lead generation, licensed insurance sales, member enrollment, and onboarding, from start to finish.
Member Experience & Loyalty
Improving member journey experiences and engagement at all stages, from choosing the right plan and enrollment to health management and payments for better health outcomes and loyalty.
Member Health Management
Defining, computing, and handling care quality for high-risk member groups to estimate provider networks for enhanced health outcomes, cost savings, profitability, plan ratings, and regulatory compliance.
Provider Lifecycle Management
Deploying technology solutions to automate, simplify, and manage end-to-end provider processes across recruiting, onboarding, credentialing, contracting, monitoring, servicing, and offboarding.v Claims Management Accelerating the payment lifecycle for increased member satisfaction, claims accuracy and efficiency with AI-powered adjudication and processing, grievances and appeals, and overpayment recovery.
Payment Integrity Solutions
Distinguishing and preventing healthcare claims fraud, waste, and abuse to achieve cost savings, improve claims accuracy, ensure compliance, and enhance provider and member relationships.
Pharmacy Benefit Management Solutions
Streamlining benefit operations for improved efficacies, regulatory compliance, and overall member experience by automating and personalizing timely interactions, including prescription reminders and proactive healthcare advice.
Member Portal & Omnichannel Platforms
Unlocking better care and increased revenue by meeting members’ desires for secure, easy self-service experiences through mobile, online, and AI-powered solutions.
Healthcare Providers
Reimagine patient experiences for better health and business outcomes
Creating simple and appropriate patient experiences to boost satisfaction, through whatever channel they choose, for a connected care experience in the moments that matter—to expand Code Metric, the quality of care, efficiency, and your financial outcomes.
What We Do
Cloud Contact Center Solutions
Transforming your contact center in the cloud with flexible and ascendable solutions to fit your business—lowering costs while bringing personalized experiences that build trust and loyalty.
Patient Experience & Loyalty Improving omnichannel patient experience and engagement at every point in their journey—from selection and pre-appointment, through all stages of care—monitoring health value streams to drive loyalty outcomes.
Patient Health Management
Defining, measuring, and managing the quality of care for high-risk patient groups to ensure better health outcomes at lower cost, while enlightening productivity, provider ratings, and regulatory compliance.
Patient Access Solutions
Making it easier for patients to access the care they need, when they need it, and in a way that is most convenient for them, including digital appointment setting, telehealth solutions, patient communication tools, and mobile apps.
Revenue Cycle Management
Confirming revenue integrity and speed to payment with AI-powered solutions to drive efficacy while maintaining a positive patient experience.
Wellness & Disease Management Programs
Enabling the success of your programs with digital solutions to better target and engage the right patients with the right messages at the right times—for healthier behaviours and improved health outcomes.
Concierge Care & Patient Support Services
Providing you with the right healthcare model to deliver personalized, patient-centered care and support for improved patient engagement, satisfaction, and health results.
Patient Portal & Omnichannel Platforms
Meeting patients’ desires for easy self-service experiences distributed securely through a mix of mobile, online, and AI-powered solutions—unlocking efficiencies that result in better care and improved revenue.
Pharmaceuticals
Gain advantage through convenience and trust.
Engaging patients with personalized content and experiences to simplify choices, driven by data-led customer journeys and proactive care strategies to improve their overall wellbeing, increase customer satisfaction, build trust, and grow loyalty.
What We Do
Adverse Event Reporting Services
Handling, tracking, and contacting patients about adverse events connecting to your products, to ensure compliance and safety assurance.
Pharmacy Technicians
Providing effective prescription processing and patient education services to remotely administer the supply of medications, collect needed information, and expedite deliveries.
Clinical Support Services
Providing caring support to allow patients to make the right choices to support, safeguard, and improve healthy lifestyles.
Provider Lifecycle Management
Deploying technology solutions to automate, simplify, and manage end-to-end provider processes across recruiting, onboarding,
credentialing, contracting, monitoring, servicing, and offboarding.
Claims Management
Accelerating the payment lifecycle for increased patient satisfaction, claims accuracy and efficiency with AI-powered adjudication and processing, grievances and appeals, and overpayment recovery.
Payment Integrity Solutions
Identifying and preventing healthcare claims fraud, waste, and abuse to achieve cost savings, develop claims accuracy, ensure compliance, and improve provider and patient relationships.
Customer Feedback Management
Gaining actionable insights to drive CODE METRIC improvements throughout the patient journey, with reactive and regenerative voice of the customer (VOC) and product survey feedback to shape your service and product roadmap.
Clinical Trial Support Services
Helping to welcome and onboard patients, and intelligently automate workflows for accurate data collection with increased patient satisfaction.