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Member Engagement

Stronger communication. Higher satisfaction.
Better health outcomes.

Revenue cycle management
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Member Engagement Services That Improve Plan Satisfaction, Communication, and Retention

Member engagement is a strategic priority for payers, TPAs, provider-sponsored plans, and care management programs seeking to improve satisfaction, strengthen retention, and guide members toward better health outcomes. Yet rising expectations, multilingual populations, benefit complexity, and channel fragmentation make it difficult to deliver consistent, high-quality support. Ameridial empowers health plans with structured member engagement services designed to provide clarity, access, and a better overall member experience.

With more than 35 years of healthcare contact center expertise—including robust member support call center operations—Ameridial delivers trained specialists, HIPAA-aligned workflows, and culturally aligned communication across voice, SMS, email, and chat. Our model ensures members receive timely, accurate, and empathetic support throughout their journey.

Service Offerings for Healthcare Payer
Member Engagement

Ameridial delivers multilingual, compliant member engagement solutions that strengthen satisfaction,
improve communication, and enhance overall plan experience.
Patient Scheduling

Inbound Member Support

We provide benefit explanations, eligibility confirmation, provider directory guidance, ID card support, cost-sharing clarity, and general navigation through our multilingual member support call center capabilities.

Insurance Verification

Outbound Member Outreach

Ameridial executes targeted reminders for renewals, preventive care, PCP assignment, care gap closure, appointment reminders, and new-member onboarding.

Preauthorization

Enrollment and Plan Understanding

We help members interpret plan benefits, network rules, pharmacy options, and coverage requirements—ensuring smooth onboarding and reducing early dissatisfaction.

Medical Coding

Care Navigation Assistance

Our teams guide members to appropriate providers, urgent care options, pharmacy services, virtual care, and health plan resources.

AI Solutions That Enhance Member
Communications & Experience

Ameridial’s AI capabilities elevate member support through real-time quality monitoring, conversational automation,
and guided assistance, improving clarity and engagement.
AI QMS

AI Quality Monitoring System

Delivers 100% call monitoring to ensure accurate, empathetic, and compliant member interactions.
Conversational AI

Conversational AI

Automates routine FAQs, benefit clarifications, appointment reminders, and plan information requests, improving response speed.
Accent Harmonizer

Accent Harmonizer

Optimizes speech clarity for better understanding across diverse multilingual member populations.
arya

Arya (AI Co-Pilot)

Supports agents in real time with benefit prompts, process guardrails, compliance reminders, and escalation triggers.
AI
AI Solutions Driving

Why Choose Ameridial for Healthcare
Member Engagement Support

Ameridial delivers reliable, high-performance member engagement operations designed to
improve retention, reduce confusion, and enhance plan relationships.

Why Choose
Experienced Staff

HIPAA-Compliant Contact Center Infrastructure

Secure, compliant communication across voice, chat, email, and SMS.

trained agent

Pharmacy-Trained & Clinically Aware Workforce

Teams capable of explaining benefits, coverage rules, & care navigation with clarity.

Scalable-Support

Scalable Support for Any Practice Size

From regional TPAs to nationwide health plans, Ameridial scales seamlessly to support seasonal surges and year-round volumes.

Coding Accuracy

24/7/365 Patient Access Coverage

Continuous availability ensures members receive timely support whenever they need it.

Integrated-AI

AI-Driven Efficiency and Quality Controls

Built-in AI enhances accuracy, compliance, and turnaround times across member support call center operations.

Real-Time

Customizable Reporting and KPI Dashboards

Get clear visibility into member satisfaction trends, call drivers, outreach effectiveness, and experience metrics.
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

Deliver a better member experience with a trusted healthcare engagement partner.
Speak with Ameridial’s Member Engagement specialists today.

    Frequently Asked Questions (FAQs)

    Explore answers to top questions about Ameridial’s healthcare payer member engagement services.
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    Yes—across benefits, navigation, renewals, and experience management.

    Yes. We support major CRM, claims, care management, and engagement platforms.

    Absolutely—our teams communicate across multiple languages for clarity and cultural relevance.

    Yes, all channels follow strict HIPAA and data protection standards.

    Most programs launch within 2–4 weeks, depending on scope and system alignment.

    Healthcare Insights

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