Member Management

Infinite’s Digital Application Management services are an ecosystem of applications, connected in real-time, serving constituents with intelligent information. Infused with managed AI & analytics, cognitive bot automation, AI rules engine, and real-time analytics to prevent, detect, and eliminate errors in the system. Infinite helps health plans to ensure the provision of covered benefits in accordance with each member’s eligibility group. Infinite’s Services has provided innumerable business benefits to the overall enrollment process such as:

  • Pre-validation of membership data before loading to your system, ensuring the highest accuracy.
  • Support high-speed multi-threaded processing of eligibility inbound and outbound extracts.
  • Providing analytics to determine and trend common data errors.
  • Avoid the exception processing, lesser manual work, reduction in multiple batch processing.
  • Modernize portal site and mobile apps: enable rapid enhancement in digital capabilities for health plans looking to revamp their member engagement channel.
  • E-commerce and M-commerce enable marketplace line of business: Develop the ability to take premium billing payments for individuals and exchange lines of business members.
  • Enhance member experience: Digitize member-centric functionality like ID card, EOB, eligibility verification, etc.
  • 20+ Payer Clients.
  • Expertise on Medicaid, Medicare, Dual, Commercial, and Marketplace LOBs.
  • Impact: 80M Patient Lives.
  • 90%+ clean claims processing in 1st pass of adjudication.
  • 10+ Solution Platforms across digital transformation and Payer Lifecycle Management.
  • Implementation for various lines of business and larger payer markets.