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Salesforce for Payers

Create a seamless engagement experience that delights every stakeholder.

Payers must juggle managing relationships with providers, groups, and members, along with regulatory demands and cost pressures.

Meeting these challenges requires integrated solutions tailored to unique needs.

A connected experience across all areas in a payer organization.

Seamless, easy-to-navigate experiences powered by cutting-edge technology boost member satisfaction, retention, and brand loyalty.

With solutions built on Salesforce technologies, Mphasis Silverline enables six key capabilities for health insurance organizations.

  • Attract new groups and individuals to a payer’s suite of products through targeted marketing campaigns. Mphasis Silverline helps payers deliver tailored messages to the right audience across the right channels, creating a seamless experience for members, group administrators, and business development teams.

  • Streamline product selection and enrollment with Mphasis Silverline, helping new customers find the best-fit plans. Support brokers, business developers, and underwriters with a smooth enrollment process, and retain customers through an efficient renewal process.

  • Respond to evolving member and group needs throughout a plan’s life. Mphasis Silverline helps payers manage plan features like billing and adapt to member changes. With Salesforce, insurance data is unified for Grievances and Appeals teams to resolve disputes effectively.

  • Take an active role in member health with care management tools that foster strong payer-member relationships. Our Salesforce implementations help identify care gaps, build maintenance programs, and monitor adherence—creating personalized health journeys that improve outcomes and support members in managing their conditions.

  • Manage every area of the business with intelligent insights all in one place. Make data-driven decisions by looking at new and existing market opportunities, addressing gaps in care when creating care management plans, or identifying key utilization trends.

  • See exactly what’s happening with members, from the very beginning of their relationship with the payer. Mphasis Silverline provides payers with the tools necessary to assist the Member Services team with any inquiry by members, group administrators, or providers.

Connecting disparate data and improving care with a member contact center

Amida Care is a private, nonprofit community health plan that specializes in providing comprehensive health coverage and coordinated care to Medicaid members with chronic conditions, including HIV/AIDS and behavioral health disorders.

Knowing they needed improved systems and tools to enable their staff, Amida Care partnered with Mphasis Silverline to implement a solution to help them connect data and build processes to provide an improved foundation of care — with a focus on member services and care management.

Read the success story

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