People's lives change rapidly–they move, get married, have children, develop new medical needs–and their insurance coverage needs to keep up.
When problems arise, like a dependent missing from coverage or a dispute over the coverage effective date, they are costly for everyone. By the time a member discovers an issue with their coverage, they may have already been denied healthcare at a time of need. Getting the problem resolved can require a cycle of support tickets and claims disputes that must be adjudicated by the insurance carrier with involvement from their employer, their broker, and their benefits administration platform.
Benefits administration platforms working with Noyo already benefit from round-trip confirmation and proactive audit features that monitor for potential data mismatches at the carrier. With Noyo Reconciliation, you can now review and take action on those issues directly in the Noyo product. No more emailing and calling back and forth with insurance carriers — you'll be able to resolve most issues with just a few clicks.
Traditional file feed or paper-based methods of data exchange make it difficult to identify and correct problems quickly. With limited visibility into the status of an enrollment at the carrier, it is not always possible to even tell whether a transaction was successful or not.
Enter Noyo. Our eligibility APIs are specifically designed to provide an unprecedented level of transparency into member transactions, allowing for automated data validation and a programmatic way to handle mismatches between benefits platforms and carriers. The key lies with Noyo's ability to both make updates to an insurance carrier's system and read back the state of that system. This closed-loop approach is the first of its kind for our industry and allows us to compare systems in real time.
Noyo Reconciliation is available to all Noyo-connected benefits administration platforms. Operations specialists can use Noyo Reconciliation to review issues that Noyo has identified and take action to resolve them in a simple and intuitive interface.
Noyo Reconciliation transforms what has previously been a very manual process of back-and-forth phone calls and emails between benefits platforms and insurance carriers. Now, operations personnel can deal with multiple issues per day, stay informed about issues in real time, and track progress through to resolution.
Insurance carriers who use Noyo to connect to their platform partners will notice fewer disruptions to member coverage, fewer claims disputes, and fewer customer inquiries arising from enrollment problems.
Noyo's APIs are the foundation for a new world of data exchange, and this release is a significant step toward a more connected and transparent future.
To learn more about the Noyo Reconciliation tool and our API services, reach out to our team.
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