Enrollment & Billing Services
Accurate member data. Billed with confidence.
Sagility helps health plans manage member enrollment and billing with precision at scale — reducing downstream errors and ensuring operational accuracy and regulatory compliance from day one.
Overview
As part of Sagility’s Claims & Membership Management Suite, our Enrollment & Billing services ensure member data and premium billing are aligned across systems. Tech-led workflows and expert teams reduce discrepancies that lead to rework, complaints, and incorrect claim denials.
Enrollment Services
- Enrollment and disenrollment processing
- Eligibility validation and reconciliation
- Group and individual enrollment support
- Exception handling and member data correction
Billing Services
- Premium and member billing setup and maintenance
- Invoice generation and payment posting
- Retroactive billing adjustments and reconciliation
- Member and employer inquiry support
Decades of Partnership, Performance, and Progress.
Clients stay with Sagility for a reason: deep-domain expertise, measurable outcomes, and a true partnership approach. Purpose-built for healthcare and trusted by the nation’s top health plans and providers, we bring decades of experience and a proven ability to simplify operations and deliver lasting impact.
Straight from the Source
We’re more than a vendor, we’re a partner. Here’s what our clients have to say:
Sagility brings deep operational and process expertise and pivots quickly in response to emerging needs. The team is highly receptive to feedback and takes action with minimal direction.
Associate Director, Payment Integrity,
National Health Plan
Sagility is a team I can count on to give their best effort and work diligently to complete any assigned task. They make excellent use of available resources to deliver work efficiently, effectively, and accurately.
Operations Specialist, Implementation, and Strategic Projects,
Regional Health Plan
Their strength lies in their flexibility and adaptability — stepping in to support any situation and responding quickly to issues. The Sagility team in Bangalore is a tremendous asset to the organization. The office environment and team culture make it feel as though you are walking into a client facility when on site.
Vice President, Operations,
Healthcare Financial Services Company
Case Studies
See how we’ve helped payers unlock millions in savings and streamline operations:
Insights & Resources
Stay informed with the latest thinking on healthcare payer operations:
Ready to Work Smarter with Sagility?
Let’s explore innovative solutions tailored to your needs—and get more done, together.