Agilite ensures accuracy and consistency in results. Agilite includes an underwriting workbench that naturally organizes an underwriter’s work queue and related tasks. It contains screens to capture underwriting inputs at the member level and summarizes group-level results to ensure complete justification for an underwriting decision. Agilite also provides configurable underwriting checklists at the individual and group levels to ensure compliance with a plan’s unique underwriting processes.

Agilite includes advanced decision support tools that can be configured to meet a plan’s specific goals.

Debit Module

Agilite incorporates an optional debit module that integrates seamlessly with the underwriting module and can be configured with a manual of the carrier’s choice. The debit module accommodates your health plan’s debit logic. Debit results are captured at the member level and summarized at the group level.

Prescription Profiling

Agilite offers an optional prescription profiling module that interfaces with third-party data services to obtain prescription profiles on prospective applicants and integrates seamlessly with the underwriting module. Profiles include prescription history, likely conditions indicated, and adjusted risk scores for the individual and group.

Integrated Rules Engine

Agilite includes a powerful rules engine that can be configured to automate as much of the underwriting process as a health plan wants. The rules engine can be configured to correlate responses to online medical questionnaires, a health plan’s debit logic, pharmacy data, and other underwriting rules to automatically propose a rate action or step such as accept, reject, or pend for further review. Optionally, underwriters can override suggested rates or rate actions before issuing a final quote.