Remove process complexity around coverage, enrollment and claims

Equip your contact center customer care advocates with guided visual knowledge they can trust to deliver a quality member experience in any season or scenario.

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Trusted by leading organizations around the world

  • Blue Cross
  • Benecaid
  • Honeybee
  • Assumption Life
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Healthcare policies and regulations are constantly changing

Reduce the complexity and compliance risks with visual knowledge management.

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Accessible accurate knowledge

Visual flows make it easy to navigate regardless of the policy or plan complexity.

Built-in compliance guardrails

Governance framework ensures every response is consistent and regulation-proof.

Confidence under pressure

Step-by-step guidance helps advocates stay calm even during peak seasons.

Always up to date

Changes pushed instantly means they are never lost in emails or outdated docs.

Smart task automation

Manual data entry errors and platform switching are alleviated with Power Shapes.

Results seen across our healthcare insurance customers

0%

Reduction in Escalations

0%

Estimated Productivity Savings

0%

Reduction in Onboarding

0%

Decrease in Average Handle Time

The impact for Healthcare contact centers

Improved Member Experience

Eliminate long holds, transfers, and disputes by guiding agents to quick, accurate answers.

Reduced Escalations & Compliance Risk

Avoid costly mistakes, audits, and misquotes, with instant updates and approval audit trails.

Increased Agent Efficiency & Confidence

Cut training time, capture expert knowledge, and automate routine tasks for better performance.

Guide customer care advocates through any call type

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Coverage

Inquiries

Coverage

With centralized access to relevant and up to date information, you can streamline the determination of eligibility, make quoting effortless and error-free, and facilitate the tracking and utilization of benefits, for added efficiency and error reduction.

Services

Enrollment

During this peak season advocates can’t afford to “figure it out” while members wait. Turn complex, shifting policy details into simple, visual playbooks that keep every agent fast, accurate, and compliant regardless of experience or tenure.

Processing

Claims

Claims are among the most complicated and error-prone call types, with multiple steps and overwhelming compliance requirements. Simplify the entire process, reduce mistakes and ensure claims are handled consistently from intake to resolution.

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Is your knowledge ready for AI?

With strong governance and a trusted knowledge foundation, you’ll be ready for future innovation. Whether scaling AI tools or meeting new regulations, Procedureflow ensures your knowledge is accurate, compliant, and AI-ready.

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