Your challenges

  • Integration is critical, but you need a flexible modular approach
  • Scaling to your growth objectives demands resources and capital that are already scarce
  • Members require specialized services you can’t provide today

We can help.

We adapt to suit you.                                                                                     

Health Plan Services provides:

  • Integrated eligibility and billing tools to accurately process and organize complex transaction streams.
  • Plan member portals, employer portals, and broker portals to centralize member activity and communication.
    • Desktop and mobile solutions for transactional tools and wellness messages that seamlessly integrate with third parties.
  • Scalable call center services to help manage your customer interactions with the flexibility to assist on a full-time or part-time basis, whether
    • from active members,
    • from brokers, or
    • from groups.
  • Data interchange technology and services that ensure connections to:
    • state and private exchanges,
    • to CMS, and
    • to other vendors supporting your product.
  • Back office services to manage your
    • billings,
    • process eligibility,
    • interact with exchanges, and
    • administer other program aspects.

How we deliver Health Plan Services

Morneau Shepell provides modern, turnkey solutions for health insurers that enhance their current technology and help them be more competitive in a rapidly changing marketplace, customized to the level of service desired by our clients.

Our clients benefit from:

  • Leading technology and software to enable the use of web services.
  • Portal and mobile applications.
  • Tailored branding and styling.
  • SaaS, ASP, hosted, and on-site delivery models.
  • Full outsourcing and co-sourcing capabilities.
  • We provide you with clear insight into your benefits with service monitoring and reporting on an ongoing and annual basis.

Morneau Shepell experience:

  • Your account team members are benefit experts.
  • You have dedicated account management from Day 1.
  • Our customer service is a high touch environment focusing on the quality of the experience with training, updates, and support and no off-shoring.
  • Our call centers are staffed by benefit experts trained in your plan and focused on resolution.

Read more about Morneau Shepell.

* Consumer Operated and Oriented Plans