member services
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Member operations drive satisfaction, revenue integrity, and compliance, requiring accurate handling of frequent enrollment, eligibility changes, redetermination and premium billing to prevent errors and revenue leakage.
Infosys BPM provides end-to-end support across the member lifecycle, helping payers enhance member experience, improve data accuracy, and strengthen service performance. Our services include new membership, enrollment and eligibility, premium billing and reconciliation, and member grievances and appeals.
Key stats
10Mn+ Member base
1200K+ Enrollments handled annually
98.7% Overall transactional accuracy
11+ Years Experience across govt and commercial LOBs
700K Premium reconciliations
60K Premium billing cases annually
Member services solutions & offerings
Health plans manage high‑volume member enrollment and servicing activities across multiple systems while adhering to SLAs accuracy timeliness, and regulatory requirements. Frequent eligibility changes, data discrepancies, manual handoffs, and member inquiries can increase errors, rework, and service delays. Infosys BPM supports payers with integrated member services and enrollment operations that bring structure, scale, and operational control across the member lifecycle. Our offerings combine deep payer domain expertise with automation, analytics, and platform‑aligned delivery models to improve enrollment accuracy, reduce downstream corrections, and deliver consistent, compliant outcomes across member onboarding, maintenance, and servicing workflows. Infosys also provides enrollment as a service through its proprietary Helix® platform.
Services covered
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Member enrollment and eligibility |
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Premium billing & reconciliation |
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Redetermination |
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Member grievance and appeals |
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Member contact center |
Point solutions
Automated enrollment platform
Real time eligibility verification
Gen AI-based advanced data extraction
AI knowledge assistant
One‑click enrollment automation
Real‑time dashboards & insights
Resource center
Request for services
Learn how digitally enabled member enrollment and servicing can improve accuracy, coverage continuity, and operational efficiency across the member lifecycle.
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