How Imagenet’s Member Communications and Reconciliation Suite helped a leading Southwestern health plan maintain continuity and compliance through both scale and disruption.

Third-party administrators (TPAs) and service organizations managing multiple health plan clients face unique challenges. Each client requires its own isolated workflow, role-based access, and audit-ready reporting.

Every week, health plans process thousands of enrollment forms, appeals, grievances, and returned mail items—each requiring unique routing rules and strict compliance safeguards. Manual assignment can’t keep up, creating bottlenecks, errors, and risk.

How Imagenet helped a public, not-for-profit health plan reduce paper claims turnaround from 5+ days to 48 hours.

How Imagenet transformed a not-for-profit health plan’s contact center to scale operations & cut wait times by 10x.

How Imagenet helped a channel partner solve a major claims challenge for a government payer.

How Imagenet helped a Pacific Northwest health plan streamline print and fulfillment workflows—ensuring CMS compliance and enhancing member experience.

How Imagenet helped a leading Puerto Rico-based health plan serving 117,000+ Medicare Advantage members streamline benefits communications and reduce compliance risk.

How Imagenet helped a major public health plan scale claims processing by 12.5x.

Read our latest case study to learn how Imagenet’s agile approach and advanced technology helped RAM regain stability and improve performance beyond its previous setup.