ICHRA Enrollment
This page describes the IdeonEnroll ICHRA solution and basic implementation requirements
Overview
IdeonEnroll's set of APIs can be used to manage and send ICHRA enrollments for a given group. Our solution leverages the same central endpoints that are used for group enrollment, with minimal additions/changes.
In addition to direct management of enrollment, Ideon offers a payments solution for ICHRA. Due to the myriad plan options selected across a group, providing and managing payments with Carriers can be time-consuming for ICHRA.
For participating carriers, Ideon can assist with payments by interfacing with the carriers, often directly completing the binder payment and enabled automated payments.
Once integrated, a platform can use all our existing endpoints used to manage group and traditional enrollments.
These include reporting endpoints, which allow a platform to retrieve real-time data on the members, coverages, and errors associated with ICHRA enrollments.
Workflow
Ideon can help you manage the annual volume of ICHRA enrollments, allowing you to Create a Group, send plan selections and members, and track the status of your submission.
This process enables your team to create Elections and follow along as we deal with the rest!
Submitting Applications
1.5 business day(s)
New applications are dispatched in bulk after systematic validation with the team. Once a member is created in Ideon's data, no member-per-member submission is required.
Submitting Payments
3 business day(s)
Payment can be made to effecuate coverage ASAP after enrollment, no further action or member-per-member process is done by your team.
Support Issues
Corrections & Resubmissions
2 business day(s)
Our carrier connections are robust, and allow us to help with edge cases, change files, and corrections post-enrollment
Carriers
Ideon provides carriers with enrollment transactions on behalf of our platforms. Carriers receive enrollments in their prescribed format and respond to us with details regarding the success or failure of enrollment transactions.
Ideon manages a close relationship with each carrier partner and ensures our singular format is translated across carrier formats, behaviors, and business rules. Ideon also uses any carrier census processes that are available to identify and resolve enrollment discrepancies.
Ideon direct integrates with your proprietary format
Access to many Platforms through one connection
Reduced partner integration costs and operational costs in managing ICHRA
Buffer against breaking changes - freely upgrade your connection and only coordinate breaking changes with one partner
Reduced turn-around time for setup
Proactive error identification and resolution
Platforms
Insurance, Benefit, and other platforms who need to manage enrollment data can extract considerable value by leveraging Ideon's APIs.
One standard integration for Group and ICHRA enrollment
Access to a growing network of Carriers who manage ICHRA enrollments
Buffer against breaking changes - When Carriers update, we absorb that maintenance effort
Reduced turn-around time for group setup
Reduced operational burden
Direct feature enhancements - Coordinate with one partner to enhance and request feature changes
Proactive error identification and resolution
Payments
We offer a payments solution for ICHRA management, based on each Carrier's current capabilities:
Direct Payments
On the member level, we open a payment process during the application with Carrier
Ideon receives billing information from the platform, keeping this data in PCI compliant storage for a short time
Ideon fetches this payment information, when it is required that we generate and format payment transmissions
Based on carrier availability, we enable Auto-pay (if the member indicates that this is desired)
During this process, we receive errors or discrepancies on payment status
The errors are standardized and can be retrieved or "watched for" on our Errors API
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