Medicare Enrollment and Member Outreach Outsourcing
Ameridial delivers compliant, scalable Medicare enrollment and member outreach support—combining trained teams and technology-enabled workflows to help health plans manage AEP, OEP, and year-round operations effectively.
Medicare Enrollment and Member Outreach Support
Ameridial delivers end-to-end Medicare enrollment and member outreach outsourcing for health plans across the United States. From AEP and OEP surge support to year-round member communication, our HIPAA-compliant delivery model helps plans improve satisfaction, maintain CMS compliance, and reduce operational strain. By combining trained, bilingual teams with technology-enabled workflows, we support enrollment accuracy, member retention, and consistent plan performance.
With decades of healthcare outsourcing experience, Ameridial understands the operational demands of Medicare programs. We manage enrollment-related interactions, eligibility support, disenrollment processing, appointment reminders, and member follow-up campaigns across critical program periods. Whether scaling during peak enrollment seasons or supporting ongoing member engagement, we deliver secure, accurate, and empathetic interactions that strengthen every Medicare member touchpoint.
Services Offered for Medicare
Enrollment and Member Outreach
Ameridial delivers Medicare-specific enrollment, outreach, and member support services designed to improve experience, maintain compliance, and support plan growth.
Annual Enrollment Period (AEP) Support
Handle peak-season volume with trained agents and CMS-aligned processes.
Open Enrollment Period (OEP) Assistance
Support post-AEP plan changes with compliant, member-focused assistance.
Member Enrollment & Onboarding
Guide accurate enrollment with clear communication and regulatory compliance.
Eligibility Verification & Disenrollment Processing
Ensure smooth eligibility and disenrollment workflows with regulatory accuracy.
Inbound & Outbound Medicare Communication
Engage members across phone, email, chat, and SMS touchpoints.
Member Retention & Welcome Calls
Build early trust and encourage long-term member engagement.
Grievance & Appeals Resolution
Resolve member concerns while meeting CMS timelines and documentation standards.
Appointment Scheduling & Reminders
Improve care coordination with multilingual scheduling and reminders.
Bilingual Member Services
Deliver compliant support with bilingual, Medicare-trained service teams.
Health Risk Assessment (HRA) Campaigns
Support risk identification through structured, empathetic member outreach.
CMS Star
Rating Support
Improve CAHPS and quality scores through consistent member engagement.
SNP & DSNP Member Support Services
Provide tailored support for SNP and DSNP member populations.
AI Solutions That Support Medicare Enrollment and Outreach
Our AI-driven tools support Medicare enrollment, outreach, quality assurance, and operational performance at scale.
Monitor agent compliance and identify coaching opportunities in real time.
Automate routine Medicare inquiries to reduce call volume and wait times.
Improve communication clarity and identify compliance risks through speech analysis.
Analyze outreach data to predict disenrollment risk and guide engagement.
Why Choose Ameridial for Medicare Support Services
A trusted outsourcing partner helping Medicare plans manage enrollment, outreach, and compliance at scale.
HIPAA & CMS Compliant Operations
Maintain audit-ready operations with secure, CMS-aligned delivery models.
Deep Medicare Expertise
Support Medicare Advantage, PDP, and supplemental plans with experienced teams.
Scalable Seasonal & Year-Round Support
Scale resources quickly for AEP, OEP, and off-cycle enrollment periods.
U.S.-Based & Bilingual Teams
Serve diverse member populations with culturally fluent English and Spanish agents.
Omnichannel Member Engagement
Engage members across voice, email, chat, and SMS touchpoints.
Actionable Reporting & Insights
Access performance dashboards to improve enrollment and engagement outcomes.
PCI DSS 4.0.1
ISO 27001:2022
HIPAA Compliant
SOC 2 Type II
MBE
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Frequently Asked Questions (FAQs)
Answers to common questions about outsourcing Medicare enrollment, outreach, and member support services.
What Medicare services does Ameridial support for health plans?
Ameridial supports Medicare plans with enrollment assistance, member outreach, AEP and OEP support, grievance and appeals workflows, appointment scheduling, HRA campaigns, and CMS-aligned member communication.
What’s the difference between AEP and OEP support services?
AEP support focuses on high-volume enrollment activity during the Annual Enrollment Period, while OEP support addresses plan changes, member questions, and retention needs following AEP.
Are Ameridial’s Medicare outsourcing services CMS and HIPAA compliant?
Yes. All Medicare support services are delivered under HIPAA-compliant infrastructure and CMS-aligned processes to ensure regulatory accuracy and audit readiness.
Can Ameridial support Dual-Eligible, SNP, and DSNP populations?
Yes. Ameridial provides specialized enrollment and outreach support for Dual-Eligible, SNP, and DSNP populations using trained teams and tailored communication workflows.
How does Ameridial improve Medicare member engagement and retention?
Ameridial combines trained agents, omnichannel outreach, and AI-driven quality and performance tools to improve member understanding, satisfaction, and long-term retention.
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