Healthcare Plan Provider Automates Enrollment Process to Achieve Compliance, Reduced Costs, and Improve Scalability.

Located in Nashville, HealthSpring is one of the largest Medicare Advantage coordinated care plans offering extensive, affordable healthcare coverage for people on Medicare.  HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Florida, Georgia, Illinois, Mississippi, Tennessee and Texas. They also offer a national stand-alone Medicare prescription drug plan.

FileBound has relieved the challenges of regulatory compliance, has reduced operational costs, and provides instant access to information resulting in improved member service.

Medicare Advantage plans are offered through Medicare-approved private companies like HealthSpring which manages their members Medicare benefits. They provide coordination of the members’ care through relationships with a network of doctors and hospitals.

The Problem:

HealthSpring was faced with the challenge of managing large volumes of membership enrollment forms during their peak periods. These forms were typically either mailed or physically delivered which caused delays in the review and approval process. HealthSpring is required to follow strict regulations on turnaround time requirements associated with these forms. Other delays and inefficiencies  were caused by the routing, retrieving and overall management of this paper intensive process. They knew that there had to be a more cost effective way of managing this process.

The Solution:

HealthSpring turned to a FileBound Document Management Solution with integrated workflow to solve their enrollment forms processing challenges. With FIleBound they were able to automate the way forms are entered into the system by automatically importing all faxed forms right into the system. Once securely stored in the system, the workflow system managed the routing, approval, and process controls needed to meet the compliance timelines. Forms stored in the system are now instantly available to users who have rights to them to efficiently service member’s requests.

FileBound Results:

Today HealthSpring has a solution for processing enrollment forms that can scale to meet their needs during periods of volume variability. FileBound also has relieved the challenges of regulatory compliance, has reduced operational costs, and provides instant access to information resulting in improved member service.

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