Eligibility and Enrollment Solutions

Create seamless services that put residents first

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Delivering for our clients at scale

119M+
U.S. residents supported across programs 
22M
resident eligibility interactions supported annually
~1M
eligibility applications processed annually

Simplify access, ensure program security and integrity

Government agencies face growing demands for social services but often rely on siloed systems and manual processes that hinder timely, resident-focused support. Our BenePath Eligibility and Enrollment Platform provides a 360° resident view with AI-driven guidance to anticipate needs, streamlining interactions for better outcomes.

*Source: KFF

  • Enhance engagement

    Improve resident satisfaction with streamlined access to enrollment and benefits.

  • Optimize workflows

    Ease administrative overhead with automation and user-friendly tools that reduce manual efforts.

  • Reduce costs

    Transform slow, expensive paper-based tasks with efficient, digital processes that increase accuracy.

Improve pathways to
critical support services

By prioritizing resident engagement, we ensure services are accessible, efficient and impactful to the needs of the individuals and communities they serve.

Eligibility and Enrollment: Commonly asked questions

What are common challenges for eligibility and enrollment?
Challenges with eligibility and enrollment can include complex application processes, income verification difficulties, inconsistent access to information, language barriers, administrative hurdles, changing eligibility criteria and a lack of awareness about available programs, often leading to eligible individuals not enrolling in necessary benefits.

What does an eligibility date mean in insurance?
In general, the eligibility date marks the specific day when an individual qualifies for and gains access to their insurance coverage, allowing them to receive benefits.

What is an eligibility period?
The eligibility period is that period during which members may enroll in a benefits program.

What does confirmation of eligibility mean?
Confirmation of eligibility refers to a member or patient’s status of insurance coverage and benefits.