EvolveNXT

EvolveNXT is an enterprise solution designed by HealthCare Enterprise Solutions, Inc. to streamline sales channel management for healthcare organizations, particularly health insurance providers and provider/broker businesses. This platform caters to health insurance carriers of all sizes, from small enterprises to large corporations. According to the vendor, EvolveNXT is an essential tool for health insurance carriers, insurance agencies, Medicare commissions management, insurance companies, and healthcare organizations seeking to optimize their sales processes and enhance overall efficiency.

Key Features

EvolveICM: According to the vendor, EvolveICM automates and manages commission calculations for health insurance carriers. This feature claims to accurately calculate complex compensation payments in as little as 10 minutes, offering over 1,000 configurable and flexible rule options. It supports Medicare, Medigap, Commercial Group, Individual, ACA, and Prescription Drug Plans.

EvolvePortal: The vendor states that EvolvePortal provides a portal for broker-facing solutions. This feature claims to facilitate commission statements, sales execution tools, and more, offering a comprehensive overview of data in one place. It enables self-service for agents to upload and maintain their sales data and credentials.

EvolveEnroll: According to the vendor, EvolveEnroll is a Medicare advantage enrollment platform for efficient and paperless enrollments. This feature supports broker-assisted telephonic enrollments, in-person enrollments, and member self-enrollments. It integrates with scope of appointment documents for compliance and utilizes data validation logic to improve enrollment approval rates.

EvolveLeads: The vendor claims that EvolveLeads manages sales leads from initial interest to closed sale. This feature assigns leads based on proximity, performance metrics, or custom-defined logic and automatically creates follow-up events for producers in an integrated calendar. It provides comprehensive lead management features and an intuitive design.

EvolveDocs: According to the vendor, EvolveDocs accesses and manages secure files in one location. This feature allows for sharing, viewing, creating, and migrating files, and sets rules for document viewing to maintain confidentiality. It provides secure file storage on EvolveNXT servers.

EvolveOB: According to the vendor, EvolveOB streamlines producer onboarding and hierarchy management. This feature manages certification and contracting of brokers and agencies, integrates with NIPR for real-time licensing and appointment validations, and provides a training management system for efficient ready-to-sell management.