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Business process services
Billing, enrollment and member services
To sharpen focus on delivering the most responsive services, many health insurers are partnering with third-party providers to manage their back-office functions. CGI’s healthcare billing, enrollment and member services practice has built a noteworthy reputation for its expertise in helping organizations lower costs and improve productivity. And CGI evolves with its clients as needs evolve in accordance with market demands and changes to government programs.
With CGI, you can focus on the business of health-providing coverage that meets members’ needs and budget.
CGI combines industry expertise with technology and business process capabilities to cost-effectively and securely manage healthcare insurers’ plans.
- Billing services -includes direct billing to members, premium reconciliation with Medicare, collections management, and call center and correspondence support
- Document management services -includes scanning, data entry and conversion of enrollment forms and other member correspondence
- Enrollment services -includes member services, such as call center support, correspondence handling, enrollment processing, eligibility confirmation and reconciliation with Medicare, enrollment kit production, member status changes, and state reimbursement management