Sharecare offers live Family Advocates to support the individual with navigational support and care guidance as well as live Clinical Advocates for higher-order clinical needs. Our Advocacy solution operational processes include the following:
- Member Onboarding: Walkthrough of all available benefits with members upon enrollment via inbound calls, as well as prioritized outreach to enroll and onboard members.
- Digital Front Door for Benefits Navigation: Members can access benefits coverage, claims, search for high quality providers, and check spending account balances and activity. Digital integration to benefit plans and telemedicine or virtual primary care platforms has evolved our leading digital well-being solution to a higher-level member health advocacy solution.
- High-Touch Front Door for Inbound Benefits Navigation: Family Advocates handle member inquiries about benefits, claims, high quality provider search, spending accounts, UM pre-authorization status, appeals, disability, and third-party care management point solutions are addressed. Coordination with payer-retained functions such as physical ID card fulfillment, claims adjustments, appeals, and UM are provided to reduce member effort.
- Proactive Care Guidance on Inbound Interactions: Executed by Family Advocates after answering the initial inquiry, with analytics/AI triggered use cases (for dynamic personalization) and referrals to Clinical Advocates for higher-order clinical needs.