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. This process allows us to quickly confirm Coverage and

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.

IdeonEnroll's unique discrepancy approach use up-front validation to reduce set-up time and avoid Carrier-specific failures

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 propreitary 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 feaure 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 standarized and can be retrieved or "watched for" on our Errors API