Member Management
Member Management
Our member enrollment services reduce the administrative burden and cost to support member enrollment processes. Our eligibility and benefits configuration, backed by our knowledge-based platform, addresses the recurring industry problems with inaccurate benefits configuration. Utilizing this leads to a reduction in improper claim payments and a decrease in appeals and grievances.
Eligibility and Enrollment
Sarenga Health Care manages the eligibility and enrollment process for our clients, including the verification and determination of each member's coverage to help automate the process and free up necessary resources.
Sarenga Health Care's skilled team of subject matter experts manages the eligibility and enrollment process for our clients, including the verification and determination of each member's coverage specificity. Delegating this task to Sarenga Health Care allows your organization to free up resources and concentrate on core business functions that optimize internal operations.
- If the member or dependents are covered by an active policy or plan
- If the member or dependents needs to be enrolled
- If the member and dependents’ opted coverage has a valid coverage period to enroll