Health Insurance Experts
With over 12 years of experience working with the largest health insurance companies in the United States, Everise supports our partners from insurance sales and member management to provider management and administrative services.
We’re leaders in healthcare insurance support, elevating experiences for members and providers across the value change.
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LARGEST HEALTH INSURANCE COMPANIES
Everise works with 3 of the 5 largest health insurers (payers) along with Blue plans and brokers.
For AEP 2022, Everise supplied over 2,800 licensed insurance agents to support our client’s sales programs.
Everise has over 11,000 champions in the US, Guatemala, Colombia, and the Philippines supporting our health insurance partners.
We Supply Licensed Insurance Agents and Non-licensed Customer Service Champions.
From seasonal ramps to support Annual enrollment period (AEP), Open enrollment period (OEP), Special enrollment period (SEP) new member orientation, plus steady state operations, we supply champions to support all our partners’ needs for Medicare, Medicaid, Group, ACA, Dental and Vision lines of business, onshore, nearshore and offshore.
Everise supplies licensed agents to handle business with new customers and existing members, from needs assessment, eligibility, and product recommendation to sale and policy modifications.
Our champions provide all key support for members' inquiries, providing answers around claims status, benefits, physician and hospitals, appeals, and even member and disease-specific education.
Our champions support your provider network by answering inquiries related to qualifications, claims, payment status, referrals, benefits/eligibility, and more in a professional and courteous manner.
From the front office to the back office, our champions support the key organizational processes, providing medical record retrieval, Stars/HEDIS support and other services as needed.