SDS automates the capture of paper enrollment forms in any layout, including declinations. Forms can be received via mail, fax, or e-mail. You never have to worry about data entry again.

Sudden surges of volume can pose challenges for both IT and enrollment staff alike. Annual renewal season can be especially stressful. The enrollment simplification platform can throttle volumes to align with your capacity planning. Additionally, we coordinate data submissions to harmonize renewal volume vs. regular maintenance volume, ensuring you will comfortably meet all your enrollment deadlines.

If you are like most payers, you receive a mix of “full data” files and “change only” files. SDS normalizes and consolidates these submissions, so you receive only a single stream in the format that works best for your systems and processes.

Data streams into our platform from multiple source formats (e.g. 834, CSV, Excel). We convert it and prepare it for submission to you by applying configurable business edits such as:

• Benefit code crosswalks
• Rollup/unroll of benefit election codes
• Automated PCP assignment based on zip code
• Missing data supplementation

Managing multiple data connections with groups and vendors is a major enrollment challenge. It involves technical setup, testing, and ongoing monitoring. The enrollment simplification platform is already connected to a large network of vendors and trading partners, and we handle building out new connections when needed. The result is extremely fast group onboarding and a relieved IT staff.

Enrollment data is being submitted 24/7, at varying intervals, and sometimes unexpectedly. Often, payer processes involve manual “drag & drop” of files, posing risks to turn-around times. The enrollment simplification platform automates all transfers and scheduling, so your data is received on time, every time.

When data problems pop up, they can cause headaches including large amounts of invalid data and pended records in your system. We automatically detect data errors and apply edits to correct invalid data before it reaches you. When manual fixes are required, we provide specialized work queues to enable fast data correction. All of this ensures a clean and accurate enrollment data stream.

Data streams into our platform from multiple source formats. We maintain a complete master copy of your entire enrollment, and we detect changes at an individual field level based on new submissions we receive. This eliminates the work of manually scanning for changes or doing full data reloads.