For Payers


Nurture long-lasting, mutually beneficial member relationships.

Help consumers choose among plans with specialized agents and technologies.

Enable consumers to shop, compare, and enroll in plans with ease across multiple channels.

Sagility offers both the tools and the agents that can guide consumers in making plan decisions. Using all available data to enhance digital and human interactions can reduce handle times, turnaround times, and errors that affect claims processes and satisfaction.

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Effectively manage volume spikes.

Better manage your valuable in-house agents, improve scalability with right-shored resources, introduce new channels, and strategically apply call deflection techniques.

If high call volumes are preventing your team from providing the help consumers need, engage Sagility to help address plan inquiries and convert prospects into members. Omnichannel contact centers are at the heart of what we do.

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Eliminate manual processes, use technology to lighten loads.

Automate and digitize for maximum speed and accuracy. Use purpose-built applications, such as our Enhanced Direct Enrollment (EDE) solution, to manage enrollment processes. Use technology to reduce the tedious repetition involved in renewals and coverage changes, help brokers and agents manage relationships with easy-to-use dashboards, and reduce duplicate entries through intelligent process design.

Create positive first impressions, even under pressure.

Choosing a healthcare plan is complicated. And unfortunately, it’s often a dreaded task — one that consumers want to avoid or rush through.

That’s why it’s important to meet consumers more than halfway, with a smile. They want quick and accurate closure, but they need empathy and education to choose wisely.

Whether your biggest pain point is lost members, extraordinary contact center wait times, or lengthy process turnaround times, our team will create positive first impressions and delight your members.

Sagility provides a full range of friendly contact center solutions.

  • Onshore, nearshore, and offshore support
  • Customer service and back-office agents
  • Truly omnichannel contact centers
  • Intuitive self-service options
  • Operational, predictive, and voice of the customer analytics
  • Customer journey and plan/claims process mapping

Shopping for health insurance is daunting.

It’s been made even more complicated by the Affordable Care Act (ACA) reforms with subsidies and on- and off-exchange options.

Our Marketplace solution for payers targets small group and individual plans, enabling consumers, group administrators, and brokers to:

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Shop and compare plans.

Simple search, customization, and comparison of plans in their area

Apply for subsidies.

Easy, online process for subsidy applications

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Coordinate broker and consumer efforts.

Allow for better collaboration to complete enrollments

Process renewals automatically.

Allow users to renew their coverage with a single click

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Provide book-of-business dashboards.

For brokers and sales agents to simplify outreach, increase efficiency, and save time

Simple and intuitive online enrollment

Customers get an accurate monthly cost quote in a few easy steps.

Sagility’s Enhanced Direct Enrollment (EDE) solution

Sagility has an Enhanced Direct Enrollment (EDE) solution for health plans who plan to go live in the next Open Enrollment Period (OEP). Our EDE Pathway enables consumers to enroll in subsidized plans without requiring a trip to and without the dreaded “double-redirect.”

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Sell and enroll subsidized plans straight from your website.

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Seamlessly integrate with your quoting and enrollment environment and CMS.

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Eliminate the dreaded double-redirect.

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Sagility’s EDE Pathway

Our fully CMS-approved EDE Pathway is a hosted SaaS solution that can integrate directly with your quoting and enrollment system to provide a seamless experience for both your on- and off-exchange business. And our experienced consultants can aid you in completing the process of integration with your systems and to achieve certification with the CMS.

The Sagility difference

  • Full phase 2 OEP and special enrollment period (SEP) support
  • Configurable to match your user experience
  • Expert consultants experienced with integration and CMS certification processes
  • To go live for 2023 OEP, implementation should start early 2022
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Our healthcare accreditations

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