Offering Details

As the healthcare industry shifts from a consumption model to one driven by quality, value and efficiency, consumers now have more choices than ever. Health plans are increasingly focused on becoming more consumer-centric, implementing innovative member engagement strategies as a competitive differentiator. To help you reach this goal, our omni-channel platform includes a configurable member dashboard to deliver personalized content, and presents all benefits and wellness information in a user-friendly format. The NTT DATA Member Engagement platform offers feature-rich digital capabilities to streamline health plan services provide personalized support and manage wellness programs. This flexible and

configurable platform supports several add-on modules and integrates with partner tools to offer a range of health and wellness functionality. Not only does it support the creation, delivery and tracking of multiple types of assessments to consumers, but it also integrates with a wide range of activity tracking devices and metrics. Our rich incentive framework enables design and execution of programs to reward desired activities. It also provides general purpose health education, personalized content based on member’s unique health status, benefit summaries, plan documentation and claim details.

Our innovative framework leverages Next Best Action (NBA) analytic results to personalize content and issue calls to action for high-priority needs. In addition, it supports the intended current objective of the user while also engaging the user with the identified NBA. It identifies user persona and tracks actions on all channels and supports an ongoing experience that is continuously tailored to preferences. And it combines actions with clinical and member generated data and suggests an appropriate delivery via preferred channel.

Gartner named us a Leader in its 2018 Magic Quadrant for CRM and Customer Experience Implementation Services, Worldwide. — January 2018

Key Benefits

We engineer our solutions to accommodate the many nuances of industry practices. NTT DATA brings a distinct and competitive advantage by offering the flexibility to tailor the solutions to meet specific customer needs.

  • Eliminate more than 30% labor on most processes and drive cross-sales
  • Get 24x7 access to information to stay connected and informed throughout the year
  • Engage with stakeholders to provide an enriching experience and a competitive advantage
  • Communicate with members with personalized information, proximate to a health decision
  • Tailor products and services to meet consumer needs and harness insightful analytics
  • Enable a single view of members to drive and manage all areas of sales and service
  • Enable member messaging, online chat, SMS, email and push notification
  • Submit and review claims, ability to view services rendered, costs, and member responsibility
  • View current status and transaction history of deductibles, OOP and office visits
  • Review all member communications including EOBs, campaign letters and HSA/HRA status
  • Allow members to view ID cards, print ID cards, or order cards to be mailed

You can achieve member-driven transformation by quantifying the customer experience.