Processes

Request invoice by member

How request invoice by member are reshaped as AGI capability advances.

ProcessesRequest invoice by member
Request invoice by member — illustrated

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How the work flows

Trigger: A health plan member submits a formal request through a portal, phone, or mail to receive a current or historical premium invoice.

  1. Receive the invoice request through a member communication channel
  2. Authenticate the member identity and account status
  3. Determine the required billing period and document type
  4. Extract billing data from the core administration system
  5. Generate the formatted invoice document
  6. Transmit the invoice to the member via their preferred delivery method
  7. Document the fulfillment action in the member service record

Outcome: The accurate invoice document is generated and successfully transmitted to the member.

Measured by

Invoice Fulfillment Cycle TimeRequest Resolution RateMember Satisfaction ScoreFulfillment Error Rate