
Full-service agent/broker portal (fast, hassle-free experience)
• Manages all aspects of agent/broker’s book of business with carrier
• Designed to be obvious to use, with intense focus on usability
• Guided approach to processing new and renewal business (simple to use without training)
Online, guided questionnaires capture medical history and enrollment data
• Guided questionnaires push data capture to point of instance
• Capture all data plan wants to see, including medical history and enrollment data
• Include built-in safeguards to protect member privacy
Integrated underwriting workbench
• Naturally organizes underwriter’s work queue and related tasks
• Captures underwriting inputs at member level and summarizes group-level results
• Ensures complete justification for underwriting decisions and compliance with internal processes
Debit system integrates seamlessly with underwriting
• Configurable with manual of carrier’s choice
• Captures debits at member level and summarizes group-level results
• Integrated rules engine enables automated decision making based on debit logic
Prescription profiling integrates seamlessly with underwriting
• Prescription profiling through interfaces with third-party services
• Prescription history, indicated conditions, adjusted risk score by individual and for group
• Integrated rules engine enables automated decision making based on prescription profiles
Business users configure offerings (benefit plans, rates, etc.)
• Engineered so business users configure offerings and maintain virtually all business intelligence (benefit plans, rates, etc.)
• Designed to reduce reliance on strained internal IT resources
• Readily configurable for self service, so HR administrators (or even plan members) view or maintain appropriate plan data (benefits, key life events, new hires, terminations, etc.)
Configurable rules engine drives automated decision making
• Integrated, powerful rules engine automates as much of rating and underwriting processes as health plan wants
• Configurable to correlate responses to online medical questionnaires, debit logic, prescription profiles, and other underwriting rules
• For new and renewal business, automatically propose rate action or step, such as approve, decline, or pend for further review
Multiple lines and distribution channels on common infrastructure
• Simultaneously supports independent agent/brokers, in-house sales force, and direct-to-consumer strategy
• Direct-to-consumer applicants view plan options, get quotes, enter census and personal data, and complete applications online, without sacrificing privacy and security safeguards
• Highly configurable workflow lets plans implement high quality, high touch experience for each channel
Eliminate duplicate data entry, paper files, wasted effort
• Pushes data capture to point of instance
• Requires only data needed to complete current step and carries data forward as needed to avoid rekeying
• Dramatically reduces processing burden on agents/brokers and in-house staff
Do it without adding IT staff
• Agilite solutions offered on-demand through monthly business-ready service
• Engineered so business users maintain virtually all business intelligence (benefit plans, rates, etc.)
• Agilite manages infrastructure, reducing burden and cost of adding to IT organizations
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