Your data can be your competitive advantage
Speed, accuracy and efficiency are vital to seamless health plan enrollment.
Eliminate manual third-party data handling with a scalable solution designed to normalize and transform it into a standard format, even during peak enrollment seasons.
Data Management & Exchange
Benefitfocus® can automate file exchanges, perform data translation and validation, manage all third-party data, and provide a scalable solution.
Annual transactions processed on files in 20241
Annual files processed in 20241
Unique submitters for health plans in 20251
How Our Solution is Different
Technology is only one component because our people and service model support very step.
Benefitfocus’ industry veterans augment your team, so you don’t have to focus resources on data submitters and intake processes. A solution that is designed to provide a high-quality level of data intake can be a meaningful asset for health plans.
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Business process delegation model: Designed to remove reliance on middleware and reduce enrollment errors while ensuring data accuracy.
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All third-party systems supported: A single system for all customers to submit third-party enrollment and manage group-level business rules.
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Scalable for all commercial group sizes: Service can be tailored to support all health plans’ lines of business and any size groups.
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Compete in a changing market: The ability to automate eligibility data for a health plan’s products in addition to medical insurance such as pharmacy, life and other offerings.
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True software as a service (SaaS) platform: Real-time dashboard designed so health plan teams can monitor enrollment statuses and identify items that require attention before data enters your membership system.
How It Works
Our team works to remove your challenge of setting up data submitters by collaborating directly with your customers to ensure their enrollment files are in a consumable format. We also support multi- and single-sponsor arrangements, including commercial groups of all sizes and individual data.
Once a file is received, advanced business rules logic is applied.
We ensure all differences in data sets are identified and resolved by performing data audits and validation checks.
After all audits and validations are performed the enrollment file is sent to you.
You are provided full transparency into the process so your team can monitor enrollment statuses and identify items that require attention.
Analytics and insights are at the core of the entire third-party enrollment automation solution.
Driving simplicity with industry-leading connectivity
Benefitfocus has implemented thousands of reliable connections to create a better-functioning and trustworthy data exchange network across the benefits ecosystem.
Ready for a change?
Designed to enhance health plans' digital presence and customer engagement by addressing complex challenges like data visibility issues and long integration times through automation and data processing transparency.
1 Benefitfocus Internal data as of 7/2025
The information presented is for general information purposes only and does not and is not intended to constitute legal advice.
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