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Transforming Medicare Support. Experience Meets Excellence.

Ameridial delivers compliant, empathetic, and scalable Medicare solutions—powered by human-first service and AI-enhanced support that drives results.
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Contact Center for Medicare & Medicaid Services
Driving Compliance, Member Satisfaction, and America’s Healthcare Transformation

Ameridial provides end-to-end Medicare BPO and contact center services tailored for health plans and payers across the United States. From AEP and OEP support to year-round member engagement, our HIPAA-compliant solutions improve satisfaction, ensure CMS compliance, and lower operational burden. We combine experienced, bilingual agents with AI-driven tools to streamline enrollment, resolve concerns, and boost retention. Our scalable infrastructure and healthcare-trained staff make us the ideal partner for Medicare Advantage, PDP, and Medigap support.

With over 30+ years of healthcare outsourcing experience, Ameridial understands the demands of Medicare communication. We manage everything from eligibility verification and disenrollment processing to appointment reminders and satisfaction surveys. Whether it’s ramping up during AEP or providing consistent support during OEP and lock-in periods, we deliver accurate, empathetic, and secure interactions. Our omnichannel contact center solutions help plans meet regulatory standards while enhancing every member touchpoint.

Services Offerings Tailored for
Medicare Health Plans

Ameridial delivers Medicare-specific contact center solutions that improve experience,
support compliance, and drive plan growth.

AEP Support

Annual Enrollment Period (AEP) Support

Handle peak-season volume with trained agents and CMS-aligned processes.

OEP Assistance

Open Enrollment Period (OEP) Assistance

Offer continued support post-AEP to reduce confusion and disenrollment.

Member Enrollment & Onboarding

Member Enrollment & Onboarding

Guide members through accurate enrollment with empathy and compliance.

Eligibility Verification & Disenrollment Processing

Eligibility Verification & Disenrollment Processing

Ensure smooth plan transitions with detailed support and regulatory accuracy.

Inbound & Outbound Medicare Communication

Inbound & Outbound Medicare Communication

Reach & support members across all touchpoints—phone, email, chat, & SMS.

Member Retention & Welcome Calls

Member Retention & Welcome Calls

Build trust early and encourage year-round plan engagement.

Grievance & Appeals Resolution

Grievance & Appeals Resolution

Resolve concerns quickly while meeting CMS requirements and timelines.

Appointment Scheduling & Reminders

Appointment Scheduling & Reminders

Improve care coordination with multilingual support and automated alerts.

Bilingual

Bilingual Member Services

Break language barriers and improve satisfaction with native-level (English-Spanish) fluency.

HRACampaigns

Health Risk Assessment (HRA) Campaigns

Support early detection and risk stratification via empathetic outreach.

CMS

CMS Star
Rating Support

Capture and improve CAHPS and member satisfaction scores with proactive engagement.

SNP & DSNP Member Support Services

SNP & DSNP Member Support Services

Deliver specialized service for vulnerable populations with tailored scripting & empathy training.

AI Solutions That Enhance Every Medicare Interaction

Our AI-driven tools optimize member outreach, quality assurance, and performance for Medicare programs.

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AI Quality Monitoring System (QMS)

Track agent compliance and identify coaching opportunities in real time.
Conversational AI

Conversational AI Assistants

Automate routine inquiries and streamline self-service Medicare interactions.
MindSpeech Analytics

MindSpeech Analytics

Reveal voice-based member sentiment and compliance risks using smart speech recognition.
arya

Arya Predictive Engine

Use data to personalize outreach and predict member behavior and disenrollment risk.
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Why Choose Ameridial for Medicare Support Services

We’re the trusted healthcare contact center partner for Medicare plans across America.

Why-Choose-Ameridial-for-Medicare-Support-Services
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HIPAA & CMS Compliant Operations

Stay audit-ready with rigorous compliance processes and secure infrastructure. 

Deep Medicare Expertise

Deep Medicare Expertise

Over two decades supporting Medicare Advantage, PDP, and supplemental plans. 

Scalable Seasonal & Year-Round Support

Scalable Seasonal & Year-Round Support

Adapt quickly for AEP, OEP, and off-cycle
needs with ease. 

U.S.-Based & Bilingual Teams

U.S.-Based & Bilingual Teams

Serve diverse populations with culturally fluent English and Spanish-speaking agents. 

omnichannel

Omnichannel Member Engagement

Connect through voice, email, chat, and SMS—on any device, anytime.

Actionable Reporting & Insights

Actionable Reporting & Insights

Access dashboards and analytics to drive smarter decisions and better member outcomes.
PCI Certified

PCI DSS 4.0.1

bsi-27001

ISO 27001:2022

HIPPA

HIPAA Compliant

AICIPA SOC 2

SOC 2 Type II

MBE-Certification

MBE

Get in Touch Today

Ready to transform your Medicare member experience?
Let’s build a compliant, people-first contact center together.

    Frequently Asked Questions (FAQs)

    Here are answers to the most commonly asked questions about Medicare contact center outsourcing.

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    A Medicare contact center service handles communications for health plans, including enrollment, grievances, retention, and scheduling. These services improve member satisfaction, reduce costs, and ensure compliance with CMS regulations.
    AEP (Annual Enrollment Period) occurs in the fall and allows full plan switching. OEP (Open Enrollment Period) follows AEP and permits one plan change. Ameridial supports both, ensuring accurate enrollment, reduced confusion, and better member retention.
    Yes. Ameridial is fully HIPAA-compliant and follows all CMS guidelines. We implement secure data handling, agent training, call monitoring, and QA procedures to meet regulatory and audit standards.
    Absolutely. We offer specialized services for SNP (Special Needs Plans) and DSNP (Dual Eligible) members, with compassionate, bilingual agents trained in supporting vulnerable populations with complex needs.
    We use AI-driven speech analytics, real-time QA, predictive engagement tools, and performance dashboards to monitor calls, enhance training, and personalize support—helping improve satisfaction and Star Ratings.

    Healthcare Insights

    Discover healthcare insights worth reading—designed to inform, inspire,
    & transform how you connect payers, providers, and patients.