HGS Colibrium Releases the Forward™ Apps to revolutionize Member, Broker & Provider Management

By STS News Desk On Sep 11, 2018

New CRM Integrations Help to Better Manage Your Relationships

HGS Colibrium Inc (“Colibrium”), a proven leader in integrated software solutions designed for the health insurance industry, officially launched the Forward™ Apps, a collection of integrations for two prevalent Cloud CRM platforms: Salesforce and Microsoft Dynamics 365 for Sales. The three Forward™ Apps are designed to extend the CRM platforms’ functionality to support the health insurance industry. The apps revolutionize the management of profile data on members, brokers and providers and provide a platform for managing the health plan’s relationships with these three important stakeholders. Each Forward™ App provides structured profiles that can be used for analysis and making the results of those analytics immediately actionable through the CRM platform’s inherent communication tools or connected systems such as call center phone and chat systems.

The Member Forward™ App provides data models used for profiling a payer’s members and their policies across market segments. This creates an enhanced journey with the member, from shopping and enrollment to utilization and service management, all the way to renewal. Payers can use the Member Forward™ App to build a comprehensive history of:

Consumer shopping behavior
Enrollment information and status
Billing and payments
Benefit utilization and claims
Member-provider relationships and visits
Subsidy eligibility and utilization
Wellness program enrollment and success
Health risk assessment responses
Member satisfaction survey scores and their likelihood to renew

Additionally, the Broker Forward™ App allows a carrier to model and manage their relationships with their brokers and agencies across the full broker hierarchy and market segments, providing an enhanced experience with brokers. Payers can use the Broker Forward™ App to build a comprehensive history of:

Broker quoting behavior and conversion rates
Commissions statements and payments
Training program enrollment and completion
Incentive and remediation program enrollment and completion
Broker satisfaction survey scores

Finally, that same comprehensive journey is extended to providers via the Provider Forward™ App. From network inception, provider certification, and provider support, to claims processing and payment, the Provider Forward™ App allows a carrier to model and manage their relationships with their providers across their networks and segments. With the shifting of payer-provider relationships towards more risk-sharing arrangements, those relationships have begun to take on increasing levels of importance – well beyond the capabilities of yesterday’s network management tools. Payers can use the Provider Forward™ App to build a comprehensive history of:

Contract initiation and renewal
Claims and payments- including claims adjudication processes
Quality assurance assessments
Training program enrollment and completion
Incentive and remediation program enrollment and completion
Provider satisfaction survey scores

Together, these apps create an extensible toolset that can propel payers to the next level of analytics-driven workflow automation and relationship management. The Forward™ Apps will become the foundation for a true service and sales-oriented analytics platform where relationships can be managed across the entire lifecycle. In a time when member, broker and provider relationships are evolving and changing almost as rapidly as technology itself, the Forward™ Apps from HGS Colibrium bring healthcare-specific integrations to the Salesforce and Microsoft Dynamics 365 for Sales platforms.

“These apps can be implemented modularly, yet work together seamlessly when deployed together,” said Madan Moudgal, CEO, Colibrium. “That way, stakeholders in different departments get precisely the tools they need to optimize their processes and workflows without getting mired in enterprise architecture or IT bureaucracy.”