Eligibility & Enrollment

Build a strong administrative foundation for your health strategy by integrating personal wellness programs into enrollment.

Carewise Eligibility and Enrollment is a benefits administration solution that supports high volume, multi-carrier transaction processing. It captures benefits data for health, dental, vision, disability, retirement, and other employer-paid benefits.

• Single-source benefits administration. Carewise Health provides a full-suite of complementary in-sourced applications to support eligibility and enrollment, permitting the employer to consolidate vendors, simplify annual enrollment, and develop multi-year strategies. Applications include multi-purse spending accounts, COBRA, direct billing, personal wellness, customized call center support, and total population health improvement programs.
• Parameter-driven configuration. By leveraging configurable technology, Carewise Health handles complex case setup, large volumes of transactions, and timely change orders. Implementation of Carewise Eligibility and Enrollment is typically three to six months.
• Health planning event. Employers can transform enrollment into an opportunity to educate, engage, and empower employees to take control of their health and healthcare spending.
• Participant Web site. Carewise Health aggregates health benefits and health management programs in a single location, so participants can better manage benefits, spending account dollars, and personal health through participation in lifestyle improvement programs.
• Premium and eligibility reconciliation. Carewise Health reduces annual healthcare expenses through automated electronic verification and reconciliation of eligibility feeds between the employer and its carriers. The reduction of premium overpayment, fees, and claims has resulted in savings of up to five percent of annual health expenses for some clients after switching to this platform.