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As a patient, navigating the healthcare industry can feel confusing. We help simplify the experience between patients, physicians, and providers so you can deliver exceptional service. Our experts can manage complex communications, streamline member care, and improve patient engagement levels, leading to better outcomes for the people you serve.

Our CX Solutions

data analytics

Treasure Performance – Customer Data Platform

  • Patient journey insights and strategy development
  • Survey and data development
  • Member assessment support
  • Actionable insights from real-time data and patient actions
  • Audience segmentation
  • Individualized communications and messaging
  • Automated reminders and follow-ups
  • Omnichannel wellness and marketing campaigns
trust safety

Trust + Safety

  • All our locations meet healthcare compliance regulations, including HIPAA, CMS and DDMAC
  • All our locations meet cybersecurity compliance regulations including SOC 2, Type 2 and PCI-DSS 3.2
  • Data privacy controls
  • Data security management
  • Detecting and flagging potential fraud
  • Platform and payment protection
back office

Back-Office Support

  • Document handling and management
  • Quick and meticulous data entry
  • Smart AI automations for faster information processing
  • Data deduplication
customer care

Customer Care

  • Empathetic associates deliver personal care in 1-on-1 customer experiences
  • 24/7 patient service coverage
  • Physician and provider support
  • Appointment setting and confirmation
  • Explanations of service
  • Claims handling, including appeals and grievances
  • Cross-channel customer service, including email, social media, chat and phone
  • Self-service options, including structured chat and generative AI applications
  • Call routing and multi-tier call handling
  • Six Sigma-Certified associates and team leads
Print

Direct Mail Marketing

  • Production capabilities for printed communications, including variable data printing and print-on-demand
  • Cost optimization for postage and delivery
  • Data-led marketing and communications that create higher response rates
  • Faster scaling as needed, like during enrollment periods
Healthcare Montage 1
Healthcare Montage 2
Finance Montage
Healthcare Montage 4
Healthcare Montage 5

CX Solutions for Healthcare

health patient

Health Insurance – Patients

  • Physician/hospital lookup
  • Claims status
  • Appeals and grievances management
  • Benefits eligibility lookup
  • Product recommendations
  • Policy sales
  • Pre-renewal contact campaigns
  • Provider network management
  • Provider credentialing
  • Provider payment status
  • Reminder calls
  • Annual notice of change management
  • Welcome packet and information packet management
  • Access and availability of care surveys
  • Visit follow-ups
Pharmacy Benefit

Pharmacy Benefit Management

  • Member and provider support
  • Formulary lookup and status
  • Benefits eligibility
  • Explanation of services
  • Order tracking
  • Pharmacy lookup
  • Coordination of benefits
  • Mail order and customized pill package enrollment
  • Transfer and manage prescriptions
  • Provider member Rx coordination
  • Refill timing
  • Payment status
health insurance

Health Insurance – Providers

  • Pre-authorization management
  • Appointment setting and confirmation
  • Pre-visit instructions
  • Transportation support
  • Medical record retrieval
  • Billing authorization coordination
  • Post-discharge follow-up
  • Medication adherence checks
  • Remote patient monitoring
  • Medical device setup and support
  • Billing dispute resolution
  • Provider coordination
urac
pharma

Pharma

  • Customer segmentation modeling
  • Product outreach
  • Support program enrollment
  • Patient support
  • Physician support
  • Medication adherence
  • Adverse event reporting
  • Sample ordering
  • Pharmacy coordination

QCXi Case Studies

A Healthcare Insurance Provider

With a goal to maintain their rates of enrollment while reducing marketing spending, we created targeted outreach campaigns for one of our healthcare insurance clients. Using predictive modeling, we identified and reached out to promising leads, improving response by 700% and saving our client $600,000 across the campaign.

Read the Case Study

A National Insurance Marketplace

Our client needed to scale their customer service staff to 600 licensed agents within 60-90 days to support insurance enrollments. We were able to recruit more than 500 licensed agents and train them within two weeks, which helped our client exceed their Medicare enrollment goals and enroll more than 35,000 people in Affordable Care Act plans over the phone.

Read the Case Study

A Healthcare Insurance Provider

With a goal to maintain their rates of enrollment while reducing marketing spending, we created targeted outreach campaigns for one of our healthcare insurance clients. Using predictive modeling, we identified and reached out to promising leads, improving response by 700% and saving our client $600,000 across the campaign.
Read the Case Study

A National Insurance Marketplace

Our client needed to scale their customer service staff to 600 licensed agents within 60-90 days to support insurance enrollments. We were able to recruit more than 500 licensed agents and train them within two weeks, which helped our client exceed their Medicare enrollment goals and enroll more than 35,000 people in Affordable Care Act plans over the phone.
Read the Case Study

Let's Connect

All industries are different. Get in touch and we’ll connect you with a real person who can put together a customized plan to meet your needs.

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Qualfon-Corporate
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13700 Oakland Avenue
Highland Park, MI 48203

877-261-0804

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Go to Qualfon website

Welcome to Qualfon the parent company of QCXi.

Here you will have access to our global policy pages as well as access to all our brands in the Qualfon portfolio.

Go to Caribbean Export site

Welcome to Qualfon the parent company of QCXi

Here you will have access to our global policy pages as well as access to all our brands in the Qualfon portfolio.

Go to Qualfon Site

Welcome to Qualfon the parent company of QCXi

Here you will have access to our global policy pages as well as access to all our brands in the Qualfon portfolio.

Go to Qualfon Site

Welcome to Qualfon the parent company of QCXi

Here you will have access to our global policy pages as well as access to all our brands in the Qualfon portfolio.

Go to Qualfon Site

Welcome to Qualfon the parent company of QCXi

Here you will have access to our global policy pages as well as access to all our brands in the Qualfon portfolio.

Go to Qualfon Site