Health InsuranceDelight your Members
Respond to your Providers Promptly
Enable your Brokers to Sell More

• Natural Language Call Routing

  Resolvity’s natural language call routing applications for health insurance companies allows members, providers and brokers to describe problems in their own words and routes them to the appropriate destination; for example members may say “I need to find a doctor” or “I want to confirm my benefits” and then get routed to either a self-service application or a live agent with the requisite skills to answer the call.

  Listen to a sample NLCR call for health care

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• Benefits

  Resolvity’s benefits applications automate some of the most frequently asked questions that members and providers have about coverage and eligibility. For members, the applications provide information on deductibles and co-pays, etc. for “in-network” and “out-of-network providers”. For providers, the applications can validate and confirm eligibility prior to office visit or a hospital procedure.

  Listen to a sample call on benefits

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• Claims

  Resolvity can automate claims tracking for both members and medical providers via a speech interface. We can also provide answers to more sophisticated questions regarding claims adjudication policy.

• Member Administration Applications

  Resolvity’s member administration applications help members, brokers and group administrators manage and administer account information. The applications allow changes to account information. For example: adding dependent coverage for a member or ending coverage for an employee after termination of employment, etc.

• Voice Verification

  Resolvity’s advanced voice verification solutions help health insurance companies authenticate members, providers, brokers and group administrators. The solution reduces the risk of unauthorized access to members’ personal health data while dramatically lowering the live agent costs associated with caller authentication. The application also helps improve the customer experience as subscribers do not have to recollect pins and passwords.

• Other Member Applications

  Resolvity provides other applications for automating member contact. Some of these applications are: Find a Doctor, Refill a Prescription, etc.

  Listen to a Search a Doctor call

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