Sharecare offers live benefits navigation 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 available benefits with members upon enrollment via inbound calls, as well as prioritized outreach to enroll and onboard members.
- Digital front door: 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 platforms has evolved our well-being solution to a higher-level member health advocacy solution.
- High-touch inbound support: Benefits navigation 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 benefits navigation 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.