Provider and Member Engagement

Wipro EMaaS introduces a self-service portal hosted on the Salesforce cloud platform, designed to streamline information access, account management, and agency interaction for members and providers. The solution prioritizes mobile responsiveness, configurability, and a low-code approach, ensuring rapid adaptability to changing requirements.

Key Features

The self-service functionality within the Provider and Member Portals provides comprehensive self-service functions for Medicaid members and providers.

Provider Portal:

• Claim Management: Submit, track, and manage claims with efficiency.
• Eligibility Verification: Conduct swift member eligibility verifications.
• Document Attachments: Securely upload and handle necessary documentation.
• Financial Information: Review claim inquiries and payment details.
• Resource Access: Access fee schedules and provider manuals with ease.
• Direct Communication: Engage in real-time chat with support representatives.

Member Portal:

• Provider Directory: Conveniently locate in-network providers.
• Payments: Handle premium payments and spend down contributions.
• Eligibility Status: Check and confirm eligibility for services.
• ID Card Services: Request new or replacement ID cards seamlessly.
• Live Support: Receive immediate assistance through live chat support.

Experience the convenience of Wipro EMaaS self-service portals, where seamless interaction, rapid information retrieval, and mobile-friendly design empower providers and members with greater control and streamlined efficiency.