HealthSherpa
Marketplace
Operations
Maximize your Marketplace business operations with a collaborative partner who prioritizes financial predictability, data integrity, and compliance.
Our enrollment, billing, and reconciliation solutions yield differentiated results and value for your business.
On-time, consistent
APTC payments
Minimal discrepancies
driven by synchrony with CMS
Prevent overpayments
of APTC Discrepant Dollars
Avoid underpayments
of APTC Discrepant Dollars
What is HealthSherpa Marketplace Operations?
Marketplace Operations is a full end-to-end enrollment, premium billing, and reconciliation platform combined with an expert operations team that integrates with our Marketplace to ensure data integrity and ACA compliance across all processes.
Proactive, not reactive
Proactive, accurate, & timely enrollment processing directly improves the predictability and accuracy of APTC cash flows.
Prevention, not remediation
Prevent discrepancies with accurate enrollment processing and materially reduce risk across the board.
Focus on high value work
Free up your internal team as our operations experts prioritize proactive resolutions and alleviate administrative burden.
Accurate and efficient
Ensure member satisfaction and persistency with accurate eligibility and billing information and communication tools.
Our Partnership Goals
Financial Predictability
Expedited, accurate monthly APTC payments and top-notch enrollment and financial data quality limit your claim exposure.
Member Satisfaction
Accurate invoices and self-service tools keep members informed and satisfied. Process oversight and HICS resolution support retention.
Collaborative Partnership
We're here for your business. Flexible, timely reporting, no-fee state expansion or transition, and a competitive PMPM rate are table stakes.